Juanita Marisol Barrientos, is a medicare enrolled "Social Worker - Clinical" provider in San Bernardino, California. Her current practice location is
1908 Business Center Dr., San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at
(909) 890-5930.
Juanita Marisol Barrientos is licensed to practice in California (license number 101760) 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 1417486788.
Healthcare Provider's Profile
| Full Name | Juanita Marisol Barrientos |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1908 Business Center Dr., San Bernardino, 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: 1417486788
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860853769
- Enrollment ID: I20230725001306
Medical Identifiers
Medical identifiers for Juanita Marisol Barrientos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417486788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 78289 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101760 (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. Juanita Marisol Barrientos allows following entities to bill medicare on her behalf.
| Entity Name | Soultenders Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164617007
PECOS PAC ID: 6507170453
Enrollment ID: O20150917001766 |
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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. Juanita Marisol Barrientos 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 |
|---|
Juanita Marisol Barrientos,
1908 Business Center Dr,
San Bernardino, CA 92408-3436
Ph: (909) 890-5930 | Juanita Marisol Barrientos,
1908 Business Center Dr.,
San Bernardino, CA 92408
Ph: (909) 890-5930 |
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