Mr Roberto Carlos Cisneros, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
2357 W. 30th St., Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 731-4411.
Mr Roberto Carlos Cisneros is licensed to practice in California (license number 111964) 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 1922332899.
Healthcare Provider's Profile
Full Name | Mr Roberto Carlos Cisneros |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 2357 W. 30th St., 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: 1922332899
- Provider Enumeration Date: 09/25/2009
- Last Update Date: 12/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163892258
- Enrollment ID: I20230106000468
Medical Identifiers
Medical identifiers for Mr Roberto Carlos Cisneros such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922332899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 83839 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 111964 (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 Roberto Carlos Cisneros allows following entities to bill medicare on his behalf.
Entity Name | St Johns Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073653630 PECOS PAC ID: 2961482690 Enrollment ID: O20040722001434 |
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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. Mr Roberto Carlos Cisneros 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 Roberto Carlos Cisneros, LCSW 808 W 58th St, Los Angeles, CA 90037-3632 Ph: (323) 541-1600 | Mr Roberto Carlos Cisneros, LCSW 2357 W. 30th St., Los Angeles, CA 90018 Ph: (323) 731-4411 |
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