Marvin Holford, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Rancho Cucamonga, California. His current practice location is
10470 Foothill Blvd Ste 116, Rancho Cucamonga, California. You can reach out to his office (for appointments etc.) via phone at
(909) 989-4055.
Marvin Holford is licensed to practice in California (license number LCSW82182) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669885380.
Healthcare Provider's Profile
| Full Name | Marvin Holford |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 10470 Foothill Blvd Ste 116, Rancho Cucamonga, 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: 1669885380
- Provider Enumeration Date: 06/10/2014
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 3577894559
- Enrollment ID: I20191004001604
Medical Identifiers
Medical identifiers for Marvin Holford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669885380 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 66530 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10270 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 66530 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6926 (Nebraska) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW82182 (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. Marvin Holford allows following entities to bill medicare on his behalf.
| Entity Name | Gunn Psychological Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669734604
PECOS PAC ID: 2163756032
Enrollment ID: O20190626002160 |
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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. Marvin Holford 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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Marvin Holford, LCSW
5424 Knight Ct,
Chino Hills, CA 91709-8721
Ph: (909) 480-1980 | Marvin Holford, LCSW
10470 Foothill Blvd Ste 116,
Rancho Cucamonga, CA 91730-3754
Ph: (909) 989-4055 |
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