Jessica Vianney Mota, LCSW is a medicare enrolled "Social Worker" provider in Diamond Bar, California. Her current practice location is
1336 Bridgegate Dr Fl 2, Diamond Bar, California. You can reach out to her office (for appointments etc.) via phone at
(909) 781-4618.
Jessica Vianney Mota is licensed to practice in California (license number ) 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 1366893190.
Healthcare Provider's Profile
| Full Name | Jessica Vianney Mota |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1336 Bridgegate Dr Fl 2, Diamond Bar, 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: 1366893190
- Provider Enumeration Date: 06/22/2016
- Last Update Date: 12/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709270465
- Enrollment ID: I20220223002574
Medical Identifiers
Medical identifiers for Jessica Vianney Mota such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366893190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (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. Jessica Vianney Mota 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: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Jessica Vianney Mota 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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Jessica Vianney Mota, LCSW
1336 Bridgegate Dr Fl 2,
Diamond Bar, CA 91765-3955
Ph: () - | Jessica Vianney Mota, LCSW
1336 Bridgegate Dr Fl 2,
Diamond Bar, CA 91765-3955
Ph: (909) 781-4618 |
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