Sheela Mandava, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. Her current practice location is
409 Camino Del Rio S Ste 201, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(619) 436-4263.
Sheela Mandava is licensed to practice in California (license number 112527) 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 1356816185.
Healthcare Provider's Profile
Full Name | Sheela Mandava |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 409 Camino Del Rio S Ste 201, San Diego, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356816185
- Provider Enumeration Date: 10/08/2018
- Last Update Date: 01/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921465840
- Enrollment ID: I20230608002180
Medical Identifiers
Medical identifiers for Sheela Mandava such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356816185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 112527 (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. Sheela Mandava allows following entities to bill medicare on her behalf.
Entity Name | Blue Moon Senior Counseling Of California Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
---|
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. Sheela Mandava 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 |
Sheela Mandava, LCSW 409 Camino Del Rio S Ste 201, San Diego, CA 92108-3505 Ph: (619) 346-4020 | Sheela Mandava, LCSW 409 Camino Del Rio S Ste 201, San Diego, CA 92108-3505 Ph: (619) 436-4263 |
Reviews and Comments