Social Worker In Edwards Afb California

NPI list of 4 social worker registered providers with a business address in Edwards Afb, CA, all registered as individuals. A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

NPI Name Type Taxonomy Address Medicare PECOS
1225263239DONNA N. SEWELLIndividualSocial Worker
(Clinical)
412 TH MEDICAL GROUP SGHC 30 NIGHTINGALE ROAD
EDWARDS AFB, CA 93524
(404) 245-1344
Non-Participating ProviderYES
1245850205MELANIE LAMBIndividualSocial Worker
(Clinical)
30 NIGHTINGALE ROAD
EDWARDS AFB, CA 93524
(661) 275-2566
Non-Participating ProviderNO
1497727820KAREN ANN DESOCIOIndividualSocial Worker
(Clinical)
95TH MEDICAL GROUP/SGOHF 30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
(661) 277-5292
Non-Participating ProviderYES
1992387005ARLENE JOHNSONIndividualSocial Worker
(Clinical)
30 NIGHTINGALE ROAD BLDG 5513
EDWARDS AFB, CA 93524
(661) 277-5292
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.