Mr Radomir M Avila, is a medicare enrolled "Social Worker - Clinical" provider in Chula Vista, California. His current practice location is
248 Landis Ave, Chula Vista, California. You can reach out to his office (for appointments etc.) via phone at
(619) 515-2338.
Mr Radomir M Avila is licensed to practice in California (license number 75520) 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 1487937330.
Healthcare Provider's Profile
Full Name | Mr Radomir M Avila |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 248 Landis Ave, Chula Vista, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487937330
- Provider Enumeration Date: 09/27/2011
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 6800136177
- Enrollment ID: I20190322002072
Medical Identifiers
Medical identifiers for Mr Radomir M Avila such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487937330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW 37133 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 75520 (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. Mr Radomir M Avila allows following entities to bill medicare on his behalf.
Entity Name | Family Health Centers Of San Diego, Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
---|
Entity Name | Fusion Care Group A Psychological Professional Corporation |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
---|
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. Mr Radomir M Avila 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 |
Mr Radomir M Avila, 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300 | Mr Radomir M Avila, 248 Landis Ave, Chula Vista, CA 91910-2609 Ph: (619) 515-2338 |
Reviews and Comments