Maricela Moran Cordova, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
4470 W Sunset Blvd Ste 107, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(760) 237-0112.
Maricela Moran Cordova is licensed to practice in * (Not Available) (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 1083160477.
Healthcare Provider's Profile
Full Name | Maricela Moran Cordova |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4470 W Sunset Blvd Ste 107, Los Angeles, 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: 1083160477
- Provider Enumeration Date: 08/26/2016
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628415510
- Enrollment ID: I20240327003251
Medical Identifiers
Medical identifiers for Maricela Moran Cordova such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083160477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Maricela Moran Cordova 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. Maricela Moran Cordova 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 |
Maricela Moran Cordova, LCSW Po Box 732, San Marcos, CA 92079-0732 Ph: (760) 237-0112 | Maricela Moran Cordova, LCSW 4470 W Sunset Blvd Ste 107, Los Angeles, CA 90027-6309 Ph: (760) 237-0112 |
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