Ms Esmeralda Olivares, MS, PPS is a medicare enrolled "Marriage & Family Therapist" provider in Los Angeles, California. Her current practice location is
1721 Griffin Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(323) 221-4134.
Ms Esmeralda Olivares is licensed to practice in California (license number IMF67650) 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 1720118557.
Healthcare Provider's Profile
Full Name | Ms Esmeralda Olivares |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1721 Griffin Ave, Los Angeles, 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: 1720118557
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163956913
- Enrollment ID: I20241115001321
Medical Identifiers
Medical identifiers for Ms Esmeralda Olivares such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720118557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | IMF67650 (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. Ms Esmeralda Olivares allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Ms Esmeralda Olivares 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 |
Ms Esmeralda Olivares, MS, PPS 1721 Griffin Ave, Los Angeles, CA 90031-3312 Ph: (323) 221-4134 | Ms Esmeralda Olivares, MS, PPS 1721 Griffin Ave, Los Angeles, CA 90031-3312 Ph: (323) 221-4134 |
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