Mrs Breanna Marie Vargas, MSW, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Clark, New Jersey. Her current practice location is
67 Walnut Ave Ste 207, Clark, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 982-2888.
Mrs Breanna Marie Vargas is licensed to practice in New Jersey (license number 44SC06043100) 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 1386303527.
Healthcare Provider's Profile
Full Name | Mrs Breanna Marie Vargas |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 67 Walnut Ave Ste 207, Clark, New Jersey |
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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: 1386303527
- Provider Enumeration Date: 12/15/2021
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 9234574518
- Enrollment ID: I20240226003795
Medical Identifiers
Medical identifiers for Mrs Breanna Marie Vargas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386303527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00350100 (New Jersey) | Secondary |
1041C0700X | Social Worker - Clinical | 44SC06043100 (New Jersey) | 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. Mrs Breanna Marie Vargas allows following entities to bill medicare on her behalf.
Entity Name | New Jersey Behavioral Health Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
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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. Mrs Breanna Marie Vargas 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 |
Mrs Breanna Marie Vargas, MSW, LCSW, LCADC 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 Ph: () - | Mrs Breanna Marie Vargas, MSW, LCSW, LCADC 67 Walnut Ave Ste 207, Clark, NJ 07066-1640 Ph: (732) 982-2888 |
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