Kelly Fierro Miyakawa, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Murrieta, California. Her current practice location is
30877 Bloomfest St, Murrieta, California. You can reach out to her office (for appointments etc.) via phone at
(909) 720-3591.
Kelly Fierro Miyakawa is licensed to practice in California (license number 88099) 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 1174907117.
Healthcare Provider's Profile
| Full Name | Kelly Fierro Miyakawa |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 30877 Bloomfest St, Murrieta, 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: 1174907117
- Provider Enumeration Date: 07/18/2015
- Last Update Date: 09/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901278688
- Enrollment ID: I20230206001588
Medical Identifiers
Medical identifiers for Kelly Fierro Miyakawa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174907117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 88099 (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. Kelly Fierro Miyakawa allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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. Kelly Fierro Miyakawa 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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Kelly Fierro Miyakawa, LCSW
28039 Scott Road, Ste D #283,
Murrieta, CA 92563-1181
Ph: (909) 720-3591 | Kelly Fierro Miyakawa, LCSW
30877 Bloomfest St,
Murrieta, CA 92563
Ph: (909) 720-3591 |
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