Elizabeth Ann Mediati, is a medicare enrolled "Social Worker - Clinical" provider in Chula Vista, California. Her current practice location is
1196 3rd Ave, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at
(619) 427-4661.
Elizabeth Ann Mediati is licensed to practice in California (license number 114392) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710432562.
Healthcare Provider's Profile
| Full Name | Elizabeth Ann Mediati |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1196 3rd Ave, Chula Vista, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710432562
- Provider Enumeration Date: 08/22/2016
- Last Update Date: 06/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517314586
- Enrollment ID: I20231113002572
Medical Identifiers
Medical identifiers for Elizabeth Ann Mediati such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710432562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW-95940 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 114392 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elizabeth Ann Mediati allows following entities to bill medicare on her behalf.
| Entity Name | Community Research Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952328700
PECOS PAC ID: 6800825332
Enrollment ID: O20050804001256 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Ann Mediati is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Elizabeth Ann Mediati,
1196 3rd Ave,
Chula Vista, CA 91911-3131
Ph: (619) 427-4661 | Elizabeth Ann Mediati,
1196 3rd Ave,
Chula Vista, CA 91911-3131
Ph: (619) 427-4661 |
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