Ms Ofelia Jesus Picanco, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Jose, California. Her current practice location is
2625 Zanker Rd, San Jose, California. You can reach out to her office (for appointments etc.) via phone at
(408) 446-0100.
Ms Ofelia Jesus Picanco is licensed to practice in California (license number LCSW64690) 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 1134288855.
Healthcare Provider's Profile
| Full Name | Ms Ofelia Jesus Picanco |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2625 Zanker Rd, San Jose, California |
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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: 1134288855
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 06/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 1759782527
- Enrollment ID: I20210630002604
Medical Identifiers
Medical identifiers for Ms Ofelia Jesus Picanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134288855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW64690 (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 Ofelia Jesus Picanco allows following entities to bill medicare on her behalf.
| Entity Name | Catholic Charities Of Santa Clara County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225155112
PECOS PAC ID: 3274525431
Enrollment ID: O20040330001689 |
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| Entity Name | Momentum For Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154426807
PECOS PAC ID: 2769377217
Enrollment ID: O20040618001294 |
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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 Ofelia Jesus Picanco 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 Ofelia Jesus Picanco, LCSW
2625 Zanker Rd,
San Jose, CA 95134-2130
Ph: (408) 446-0100 | Ms Ofelia Jesus Picanco, LCSW
2625 Zanker Rd,
San Jose, CA 95134-2130
Ph: (408) 446-0100 |
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