Jacquelyn Valles, is a medicare enrolled "Social Worker - Clinical" provider in Van Nuys, California. Her current practice location is
6305 Woodman Ave, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at
(818) 908-4999.
Jacquelyn Valles is licensed to practice in California (license number LCSW93889) 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 1912336827.
Healthcare Provider's Profile
Full Name | Jacquelyn Valles |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6305 Woodman Ave, Van Nuys, 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: 1912336827
- Provider Enumeration Date: 11/01/2013
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375935687
- Enrollment ID: I20220119000526
Medical Identifiers
Medical identifiers for Jacquelyn Valles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912336827 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW93889 (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. Jacquelyn Valles allows following entities to bill medicare on her behalf.
Entity Name | Community Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
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Entity Name | Community Physicians Of Ventura County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871166496 PECOS PAC ID: 1759519390 Enrollment ID: O20140113000383 |
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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. Jacquelyn Valles 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 |
Jacquelyn Valles, 6305 Woodman Ave, Van Nuys, CA 91401-2346 Ph: (818) 908-4999 | Jacquelyn Valles, 6305 Woodman Ave, Van Nuys, CA 91401-2346 Ph: (818) 908-4999 |
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