Ileana Gallegos, in Rancho Cucamonga, CA - Medicare Counselor Provider

Ileana Gallegos, is a medicare enrolled "Counselor - Mental Health" provider in Rancho Cucamonga, California. Her current practice location is 9500 Haven Ave Ste 100, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (909) 980-6700.

Ileana Gallegos is licensed to practice in California (license number LCSW99167) 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 1699225565.

Contact Information

	Ileana Gallegos,
	9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730
	(909) 980-6700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ileana Gallegos
Gender	Female
Speciality	Counselor - Mental Health
Location	9500 Haven Ave Ste 100, Rancho Cucamonga, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699225565
Provider Enumeration Date: 10/04/2016
Last Update Date: 01/20/2021

Medicare PECOS Information:

PECOS PAC ID: 5395119226
Enrollment ID: I20230316000709

Medical Identifiers

Medical identifiers for Ileana Gallegos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699225565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LCSW99167 (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. Ileana Gallegos allows following entities to bill medicare on her behalf.

Entity Name	Talkspace Provider Network Ca Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003506866 PECOS PAC ID: 7719339548 Enrollment ID: O20240117003713

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. Ileana Gallegos 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
Ileana Gallegos, 9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5871 Ph: () -	Ileana Gallegos, 9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Ph: (909) 980-6700

Reviews and Comments

Counselor in Rancho Cucamonga, CA

Domeiqua D Smoot, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Haven Ave, 100, Rancho Cucamonga, CA 91730 Phone: 909-980-6700 Fax: 909-980-6003
Brandon Ty Treadwell, BACHELOR'S DEGREE Counselor Medicare: Not Enrolled in Medicare Practice Location: 9570 Center Ave Ste 110, Rancho Cucamonga, CA 91730 Phone: 909-980-2789
Miss Amanda Brizuela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-980-6700
Ms. Porsche Monic Terry, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6949 Saddleback Pl, Rancho Cucamonga, CA 91701 Phone: 909-353-3760 Fax: 877-357-2847
Carmen Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9047 Arrow Rte Ste 170, Rancho Cucamonga, CA 91730 Phone: 909-466-8696
Karina Lizeth Mancillas Sandoval, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9631 Business Center Dr, Bldg. 14, Ste. D, Rancho Cucamonga, CA 91730 Phone: 909-948-5747
Miss Sandra Alcantar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9500 Etiwanda Ave, Rancho Cucamonga, CA 91739 Phone: 909-463-5284

Ileana Gallegos, - Medicare Counselor in Rancho Cucamonga, CA