Roxana Islas, is a medicare enrolled "Social Worker - Clinical" provider in Huntington Park, California. Her current practice location is
2629 Clarendon Ave Fl 2, Huntington Park, California. You can reach out to her office (for appointments etc.) via phone at
(323) 584-3700.
Roxana Islas is licensed to practice in California (license number 105104) 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 1053839076.
Healthcare Provider's Profile
| Full Name | Roxana Islas |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2629 Clarendon Ave Fl 2, Huntington Park, 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: 1053839076
- Provider Enumeration Date: 08/30/2017
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416493192
- Enrollment ID: I20240718003265
Medical Identifiers
Medical identifiers for Roxana Islas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053839076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW84223 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 105104 (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. Roxana Islas allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Roxana Islas 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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Roxana Islas,
2629 Clarendon Ave Fl 2,
Huntington Park, CA 90255-4119
Ph: () - | Roxana Islas,
2629 Clarendon Ave Fl 2,
Huntington Park, CA 90255-4119
Ph: (323) 584-3700 |
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