Ms Jacqueline Anne Cavallaro, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fresno, California. Her current practice location is
4440 N 1st St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at
(559) 917-4997.
Ms Jacqueline Anne Cavallaro is licensed to practice in California (license number LCS 22067) 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 1720174204.
Healthcare Provider's Profile
Full Name | Ms Jacqueline Anne Cavallaro |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4440 N 1st St, Fresno, 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: 1720174204
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406872613
- Enrollment ID: I20051018000176
Medical Identifiers
Medical identifiers for Ms Jacqueline Anne Cavallaro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720174204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCS22067 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCS 22067 (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 Jacqueline Anne Cavallaro allows following entities to bill medicare on her behalf.
Entity Name | County Of Fresno |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770538001 PECOS PAC ID: 4981591690 Enrollment ID: O20040227000935 |
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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 Jacqueline Anne Cavallaro 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 Jacqueline Anne Cavallaro, LCSW 1616 W Shaw Ave Ste D1, Fresno, CA 93711-3513 Ph: (559) 917-4997 | Ms Jacqueline Anne Cavallaro, LCSW 4440 N 1st St, Fresno, CA 93726-2304 Ph: (559) 917-4997 |
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