Mr Mario Walther Victor, MSW - Medicare Clinical Social Worker in Fremont, CA

Mr Mario Walther Victor, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fremont, California. His current practice location is 39650 Liberty St, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (510) 498-2890.

Mr Mario Walther Victor is licensed to practice in California (license number 20292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093853103.

Contact Information

Mr Mario Walther Victor, MSW
39650 Liberty St,
Fremont, CA 94538-2223
(510) 498-2890
Not Available



Healthcare Provider's Profile

Full NameMr Mario Walther Victor
GenderMale
SpecialitySocial Worker - Clinical
Location39650 Liberty St, Fremont, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093853103
  • Provider Enumeration Date: 02/01/2007
  • Last Update Date: 05/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608179411
  • Enrollment ID: I20160127002202

Medical Identifiers

Medical identifiers for Mr Mario Walther Victor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093853103NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 20292 (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. Mr Mario Walther Victor allows following entities to bill medicare on his behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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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. Mr Mario Walther Victor 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 AddressPractice Location Address
Mr Mario Walther Victor, MSW
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (510) 498-2890
Mr Mario Walther Victor, MSW
39650 Liberty St,
Fremont, CA 94538-2223

Ph: (510) 498-2890

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Social Worker in Fremont, CA

Tina Howerton, ASW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3607 Main St Ste A, Fremont, CA 94538
Phone: 510-270-1200    Fax: 510-249-9623
Leilei Yuan, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 39111 Paseo Padre Pkwy Ste 203e, Fremont, CA 94538
Phone: 443-831-4321    
Miss Lauren Ashlei Pina, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 39119 Liberty Street, Building B Room 118 Fre-122-sw, Fremont, CA 94538
Phone: 510-791-4000    
Viju Veliyath Thomas, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 39155 Liberty St, Suite G710, Fremont, CA 94538
Phone: 510-795-2434    
Mrs. Philie Katherine Chan, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 39155 Liberty St Ste G710, Fremont, CA 94538
Phone: 510-795-2434    Fax: 510-793-3972
Chifang Chang,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Kearney St, Fremont, CA 94538
Phone: 510-498-3998    
Tatiana Aracely Donan,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 44000 Old Warm Springs Blvd, Fremont, CA 94538
Phone: 213-241-3841    Fax: 213-241-3305

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