Stephanie Martinez Reynoso, is a medicare enrolled "Social Worker - Clinical" provider in Glendora, California. Her current practice location is
1160 S Grand Ave, Glendora, California. You can reach out to her office (for appointments etc.) via phone at
(626) 335-5980.
Stephanie Martinez Reynoso is licensed to practice in California (license number LCSW82695) 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 1124453584.
Healthcare Provider's Profile
Full Name | Stephanie Martinez Reynoso |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1160 S Grand Ave, Glendora, 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: 1124453584
- Provider Enumeration Date: 09/04/2013
- Last Update Date: 05/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 8628323581
- Enrollment ID: I20180618000102
Medical Identifiers
Medical identifiers for Stephanie Martinez Reynoso such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124453584 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW66697 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW82695 (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. Stephanie Martinez Reynoso allows following entities to bill medicare on her behalf.
Entity Name | Pacific Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926 |
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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. Stephanie Martinez Reynoso 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 |
Stephanie Martinez Reynoso, 1160 S Grand Ave, Glendora, CA 91740-5000 Ph: (626) 335-5980 | Stephanie Martinez Reynoso, 1160 S Grand Ave, Glendora, CA 91740 Ph: (626) 335-5980 |
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