Judy Lorena Canales, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Redlands, California. Her current practice location is
26967 Beaumont Ave, Redlands, California. You can reach out to her office (for appointments etc.) via phone at
(909) 748-7141.
Judy Lorena Canales is licensed to practice in California (license number 111393) 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 1790945715.
Healthcare Provider's Profile
| Full Name | Judy Lorena Canales |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 26967 Beaumont Ave, Redlands, 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: 1790945715
- Provider Enumeration Date: 06/12/2008
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628420205
- Enrollment ID: I20240118004418
Medical Identifiers
Medical identifiers for Judy Lorena Canales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790945715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW78462 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 111393 (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. Judy Lorena Canales allows following entities to bill medicare on her behalf.
| Entity Name | Mission City Community Network, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710102009
PECOS PAC ID: 1658264684
Enrollment ID: O20040204000544 |
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| Entity Name | Health Service Alliance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801307368
PECOS PAC ID: 4587642467
Enrollment ID: O20040708000369 |
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| Entity Name | Foothills Psychological Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100318000835 |
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| Entity Name | Foothills Psychological Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336121888
PECOS PAC ID: 9436157534
Enrollment ID: O20100414000905 |
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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. Judy Lorena Canales 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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Judy Lorena Canales, LCSW
Po Box 7340,
Redlands, CA 92375-0340
Ph: (909) 748-7141 | Judy Lorena Canales, LCSW
26967 Beaumont Ave,
Redlands, CA 92373-4360
Ph: (909) 748-7141 |
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