Sophia Guese, is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Winnetka, California. Her current practice location is
20145 Hartland St, Winnetka, California. You can reach out to her office (for appointments etc.) via phone at
(760) 475-3539.
Sophia Guese is licensed to practice in California (license number 21256) 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 1760093884.
Healthcare Provider's Profile
| Full Name | Sophia Guese |
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| Gender | Female |
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| Speciality | Occupational Therapist - Pediatrics |
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| Location | 20145 Hartland St, Winnetka, 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: 1760093884
- Provider Enumeration Date: 08/12/2020
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082018593
- Enrollment ID: I20210916002030
Medical Identifiers
Medical identifiers for Sophia Guese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760093884 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0200X | Occupational Therapist - Pediatrics | 21256 (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. Sophia Guese allows following entities to bill medicare on her behalf.
| Provider Name | Mdrs Spine & Sport Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1952394603
PECOS PAC ID: 3274446687
Enrollment ID: O20031111000725 |
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| Provider Name | Care To You Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1700448735
PECOS PAC ID: 7113257247
Enrollment ID: O20191002002900 |
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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. Sophia Guese 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 |
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Sophia Guese,
20145 Hartland St,
Winnetka, CA 91306-3524
Ph: (760) 475-3539 | Sophia Guese,
20145 Hartland St,
Winnetka, CA 91306-3524
Ph: (760) 475-3539 |
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