Yvette Zamudio, is a medicare enrolled "Social Worker - Clinical" provider in Ontario, California. Her current practice location is
855 N Euclid Ave, Ontario, California. You can reach out to her office (for appointments etc.) via phone at
(909) 983-2020.
Yvette Zamudio is licensed to practice in California (license number 90149) 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 1417209354.
Healthcare Provider's Profile
Full Name | Yvette Zamudio |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 855 N Euclid Ave, Ontario, 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: 1417209354
- Provider Enumeration Date: 10/02/2012
- Last Update Date: 11/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800248105
- Enrollment ID: I20240123002305
Medical Identifiers
Medical identifiers for Yvette Zamudio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417209354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 90149 (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. Yvette Zamudio allows following entities to bill medicare on her behalf.
Entity Name | Gunn Psychological Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669734604 PECOS PAC ID: 2163756032 Enrollment ID: O20190626002160 |
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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. Yvette Zamudio 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 |
Yvette Zamudio, 855 N Euclid Ave, Ontario, CA 91762-2729 Ph: (909) 983-2020 | Yvette Zamudio, 855 N Euclid Ave, Ontario, CA 91762-2729 Ph: (909) 983-2020 |
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