Gabrielle N Kubulan-simmons, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Covina, California. Her current practice location is
4740 N Grand Ave, Covina, California. You can reach out to her office (for appointments etc.) via phone at
(626) 859-2089.
Gabrielle N Kubulan-simmons is licensed to practice in California (license number 114653) 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 1780164061.
Healthcare Provider's Profile
Full Name | Gabrielle N Kubulan-simmons |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4740 N Grand Ave, Covina, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780164061
- Provider Enumeration Date: 08/16/2018
- Last Update Date: 06/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476999251
- Enrollment ID: I20240314004242
Medical Identifiers
Medical identifiers for Gabrielle N Kubulan-simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780164061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ACSW83821 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 114653 (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. Gabrielle N Kubulan-simmons allows following entities to bill medicare on her behalf.
Entity Name | Cyti Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919 |
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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. Gabrielle N Kubulan-simmons 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 |
Gabrielle N Kubulan-simmons, LCSW 160 E 3rd St Apt C, Pomona, CA 91766-1803 Ph: (909) 230-3902 | Gabrielle N Kubulan-simmons, LCSW 4740 N Grand Ave, Covina, CA 91724-2005 Ph: (626) 859-2089 |
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