Irene Sarahi Tello De Rosas, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fullerton, California. Her current practice location is
801 E Chapman Ave Ste 203, Fullerton, California. You can reach out to her office (for appointments etc.) via phone at
(714) 680-9000.
Irene Sarahi Tello De Rosas is licensed to practice in California (license number 101099) 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 1447773759.
Healthcare Provider's Profile
Full Name | Irene Sarahi Tello De Rosas |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 801 E Chapman Ave Ste 203, Fullerton, 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: 1447773759
- Provider Enumeration Date: 07/18/2017
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769837418
- Enrollment ID: I20231016002325
Medical Identifiers
Medical identifiers for Irene Sarahi Tello De Rosas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447773759 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW78354 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 101099 (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. Irene Sarahi Tello De Rosas allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Irene Sarahi Tello De Rosas 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 |
Irene Sarahi Tello De Rosas, MSW Po Box 919, Fullerton, CA 92836-0919 Ph: (714) 680-9000 | Irene Sarahi Tello De Rosas, MSW 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 Ph: (714) 680-9000 |
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