Georgina Kasih, is a medicare enrolled "Social Worker - Clinical" provider in Fontana, California. Her current practice location is
17035 San Bernardino Ave Apt 14, Fontana, California. You can reach out to her office (for appointments etc.) via phone at
(559) 901-6422.
Georgina Kasih is licensed to practice in California (license number 114291) 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 1467920108.
Healthcare Provider's Profile
| Full Name | Georgina Kasih |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 17035 San Bernardino Ave Apt 14, Fontana, 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: 1467920108
- Provider Enumeration Date: 11/12/2018
- Last Update Date: 05/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688031610
- Enrollment ID: I20230607001690
Medical Identifiers
Medical identifiers for Georgina Kasih such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467920108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW83618 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 114291 (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. Georgina Kasih allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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. Georgina Kasih 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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Georgina Kasih,
17035 San Bernardino Ave Apt 14,
Fontana, CA 92335-6743
Ph: (559) 901-6422 | Georgina Kasih,
17035 San Bernardino Ave Apt 14,
Fontana, CA 92335-6743
Ph: (559) 901-6422 |
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