Miss Tiffany Granja, is a medicare enrolled "Social Worker - Clinical" provider in Covina, California. Her current practice location is
1359 N Grand Ave, Covina, California. You can reach out to her office (for appointments etc.) via phone at
(626) 430-2875.
Miss Tiffany Granja is licensed to practice in California (license number 26769) 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 1093898694.
Healthcare Provider's Profile
| Full Name | Miss Tiffany Granja |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1359 N Grand Ave, Covina, 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: 1093898694
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 11/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890912471
- Enrollment ID: I20140805000989
Medical Identifiers
Medical identifiers for Miss Tiffany Granja such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093898694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW 17190 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 26769 (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. Miss Tiffany Granja allows following entities to bill medicare on her behalf.
| Entity Name | Los Angeles County Department Of Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083633929
PECOS PAC ID: 7416869896
Enrollment ID: O20031104000319 |
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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. Miss Tiffany Granja 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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Miss Tiffany Granja,
1359 N Grand Ave,
Covina, CA 91724-1016
Ph: (626) 430-2875 | Miss Tiffany Granja,
1359 N Grand Ave,
Covina, CA 91724-1016
Ph: (626) 430-2875 |
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