Robert James Porta, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mariposa, California. His current practice location is
5320 Highway 49 N, Mariposa, California. You can reach out to his office (for appointments etc.) via phone at
(209) 233-1749.
Robert James Porta is licensed to practice in California (license number 25125) 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 1962550327.
Healthcare Provider's Profile
| Full Name | Robert James Porta |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 5320 Highway 49 N, Mariposa, 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: 1962550327
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 11/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274910625
- Enrollment ID: I20220524002474
Medical Identifiers
Medical identifiers for Robert James Porta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962550327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW 12249 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW 12249 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 25125 (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. Robert James Porta allows following entities to bill medicare on his behalf.
| Entity Name | Blue Moon Senior Counseling Of California Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447678990
PECOS PAC ID: 9335360981
Enrollment ID: O20141023000497 |
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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. Robert James Porta 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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Robert James Porta, LCSW
1780 Presidio Ct,
Merced, CA 95340-0760
Ph: (209) 233-1749 | Robert James Porta, LCSW
5320 Highway 49 N,
Mariposa, CA 95338-9588
Ph: (209) 233-1749 |
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