Rene Melara, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
12555 W Jefferson Blvd Ste 301, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(424) 443-5555.
Rene Melara is licensed to practice in California (license number 105458) 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 1174080972.
Healthcare Provider's Profile
Full Name | Rene Melara |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 12555 W Jefferson Blvd Ste 301, Los Angeles, 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: 1174080972
- Provider Enumeration Date: 02/28/2019
- Last Update Date: 01/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840663043
- Enrollment ID: I20230309001828
Medical Identifiers
Medical identifiers for Rene Melara such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174080972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 105458 (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. Rene Melara allows following entities to bill medicare on his behalf.
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
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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. Rene Melara 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 |
Rene Melara, LCSW 1339 20th St, Santa Monica, CA 90404-2033 Ph: (310) 829-8921 | Rene Melara, LCSW 12555 W Jefferson Blvd Ste 301, Los Angeles, CA 90066-7032 Ph: (424) 443-5555 |
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