Paul Terrazas, is a medicare enrolled "Social Worker - Clinical" provider in San Bernardino, California. His current practice location is
820 E Gilbert St, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at
(909) 386-8510.
Paul Terrazas is licensed to practice in California (license number LCSW82674) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326172966.
Healthcare Provider's Profile
| Full Name | Paul Terrazas |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 820 E Gilbert St, San Bernardino, 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: 1326172966
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406203587
- Enrollment ID: I20231110001912
Medical Identifiers
Medical identifiers for Paul Terrazas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326172966 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7671 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW82674 (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. Paul Terrazas allows following entities to bill medicare on his behalf.
| Entity Name | County Of San Bernardino |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164467023
PECOS PAC ID: 3870499130
Enrollment ID: O20031209000420 |
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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. Paul Terrazas 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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Paul Terrazas,
850 E Foothill Blvd,
Rialto, CA 92376-5230
Ph: () - | Paul Terrazas,
820 E Gilbert St,
San Bernardino, CA 92415-5230
Ph: (909) 386-8510 |
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