Tammy Andrade-de La Isla, is a medicare enrolled "Social Worker" provider in Fresno, California. Her current practice location is
2560 W Shaw Ln Ste 104, Fresno, California. You can reach out to her office (for appointments etc.) via phone at
(559) 443-4800.
Tammy Andrade-de La Isla is licensed to practice in California (license number LCSW119397) 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 1255937892.
Healthcare Provider's Profile
| Full Name | Tammy Andrade-de La Isla |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 2560 W Shaw Ln Ste 104, Fresno, 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: 1255937892
- Provider Enumeration Date: 12/09/2020
- Last Update Date: 12/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143661470
- Enrollment ID: I20240516003492
Medical Identifiers
Medical identifiers for Tammy Andrade-de La Isla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255937892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW91940 (California) | Secondary |
| 104100000X | Social Worker | ASW91940 (California) | Secondary |
| 104100000X | Social Worker | LCSW119397 (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. Tammy Andrade-de La Isla allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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. Tammy Andrade-de La Isla 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 |
|---|
Tammy Andrade-de La Isla,
2560 W Shaw Ln Ste 104,
Fresno, CA 93711-2777
Ph: (559) 443-4800 | Tammy Andrade-de La Isla,
2560 W Shaw Ln Ste 104,
Fresno, CA 93711-2777
Ph: (559) 443-4800 |
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