Ms Ivette Y Rabanal, LCSW, LADAC is a medicare enrolled "Social Worker - Clinical" provider in Safford, Arizona. Her current practice location is
618 S Central Ave, Safford, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 362-7343.
Ms Ivette Y Rabanal is licensed to practice in Arizona (license number LCSW-20760) 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 1295152544.
Healthcare Provider's Profile
| Full Name | Ms Ivette Y Rabanal |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 618 S Central Ave, Safford, Arizona |
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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: 1295152544
- Provider Enumeration Date: 03/25/2014
- Last Update Date: 08/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971972548
- Enrollment ID: I20221205000769
Medical Identifiers
Medical identifiers for Ms Ivette Y Rabanal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295152544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-155264 (Arizona) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0128951 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | I-07181 (New Mexico) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-20760 (Arizona) | 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 Ivette Y Rabanal allows following entities to bill medicare on her behalf.
| Entity Name | Easter Seals Blake Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548781487
PECOS PAC ID: 9335302710
Enrollment ID: O20220217001894 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20230424000147 |
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| Entity Name | Brightside Medical Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609335660
PECOS PAC ID: 3678948809
Enrollment ID: O20230425001219 |
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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 Ivette Y Rabanal 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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Ms Ivette Y Rabanal, LCSW, LADAC
3350 S Lakeside View Dr,
Tucson, AZ 85730-2736
Ph: (505) 203-5983 | Ms Ivette Y Rabanal, LCSW, LADAC
618 S Central Ave,
Safford, AZ 85546-2721
Ph: (928) 362-7343 |
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