Ms Dana Nicole Sandoval, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ontario, California. Her current practice location is
1557 N Pleasant Ave, Ontario, California. You can reach out to her office (for appointments etc.) via phone at
(951) 818-5516.
Ms Dana Nicole Sandoval is licensed to practice in California (license number 118548) 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 1568687325.
Healthcare Provider's Profile
Full Name | Ms Dana Nicole Sandoval |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1557 N Pleasant Ave, Ontario, 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: 1568687325
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 11/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618310624
- Enrollment ID: I20240207000497
Medical Identifiers
Medical identifiers for Ms Dana Nicole Sandoval such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568687325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 118548 (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. Ms Dana Nicole Sandoval allows following entities to bill medicare on her behalf.
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20220404000301 |
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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. Ms Dana Nicole Sandoval 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 |
Ms Dana Nicole Sandoval, LCSW 1557 N Pleasant Ave, Ontario, CA 91764-1838 Ph: (951) 818-5516 | Ms Dana Nicole Sandoval, LCSW 1557 N Pleasant Ave, Ontario, CA 91764-1838 Ph: (951) 818-5516 |
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