Mia Julisia Sanchez, is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, North Carolina. Her current practice location is
215b Memorial Dr, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 378-4809.
Mia Julisia Sanchez is licensed to practice in North Carolina (license number P016696) 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 1871268649.
Healthcare Provider's Profile
| Full Name | Mia Julisia Sanchez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 215b Memorial Dr, Jacksonville, North Carolina |
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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: 1871268649
- Provider Enumeration Date: 08/12/2021
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 1254862998
- Enrollment ID: I20241004000946
Medical Identifiers
Medical identifiers for Mia Julisia Sanchez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871268649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-27639 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P016696 (North Carolina) | 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. Mia Julisia Sanchez allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221213001514 |
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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. Mia Julisia Sanchez 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 |
|---|
Mia Julisia Sanchez,
2701 N 16th St Ste 316,
Phoenix, AZ 85006-1266
Ph: (623) 282-2890 | Mia Julisia Sanchez,
215b Memorial Dr,
Jacksonville, NC 28546-6333
Ph: (910) 378-4809 |
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