Vanessa Icazbalceta-soto, in San Diego, CA - Medicare Counselor Provider

Vanessa Icazbalceta-soto, is a medicare enrolled "Counselor - Professional" provider in San Diego, California. Her current practice location is 9265 Sky Park Ct Ste 100, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (706) 524-7134.

Vanessa Icazbalceta-soto is licensed to practice in California (license number 15849) 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 1083264519.

Contact Information

	Vanessa Icazbalceta-soto,
	9265 Sky Park Ct Ste 100, San Diego, CA 92123-4375
	(706) 524-7134
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vanessa Icazbalceta-soto
Gender	Female
Speciality	Counselor - Professional
Location	9265 Sky Park Ct Ste 100, 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: 1083264519
Provider Enumeration Date: 09/17/2019
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3173061579
Enrollment ID: I20240816000865

Medical Identifiers

Medical identifiers for Vanessa Icazbalceta-soto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083264519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	15849 (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. Vanessa Icazbalceta-soto allows following entities to bill medicare on her behalf.

Entity Name	Serene Health Ipa Medical Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649809526 PECOS PAC ID: 0244652139 Enrollment ID: O20200623001361

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. Vanessa Icazbalceta-soto 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
Vanessa Icazbalceta-soto, 201 N Brand Blvd #200, Los Angeles, CA 91203-1519 Ph: (562) 888-0285	Vanessa Icazbalceta-soto, 9265 Sky Park Ct Ste 100, San Diego, CA 92123-4375 Ph: (706) 524-7134

Reviews and Comments

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Vanessa Icazbalceta-soto, - Medicare Counselor in San Diego, CA