Andrew Keoki Mondoy, LICSW in Auburn, WA - Medicare Social Worker Provider

Andrew Keoki Mondoy, LICSW is a medicare enrolled "Social Worker" provider in Auburn, Washington. His current practice location is 4240 Auburn Way N, Auburn, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 876-8900.

Andrew Keoki Mondoy is licensed to practice in Washington (license number LW61010335) 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 1659770170.

Contact Information

	Andrew Keoki Mondoy, LICSW
	4240 Auburn Way N, Auburn, WA 98002-1311
	(253) 876-8900
	(253) 876-8910

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Keoki Mondoy
Gender	Male
Speciality	Social Worker
Location	4240 Auburn Way N, Auburn, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659770170
Provider Enumeration Date: 08/20/2014
Last Update Date: 07/25/2022

Medicare PECOS Information:

PECOS PAC ID: 7416330220
Enrollment ID: I20220811001370

Medical Identifiers

Medical identifiers for Andrew Keoki Mondoy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659770170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
104100000X	Social Worker	LW61010335 (Washington)	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. Andrew Keoki Mondoy allows following entities to bill medicare on his behalf.

Entity Name	Sound Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780774950 PECOS PAC ID: 1759282197 Enrollment ID: O20040119000053

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. Andrew Keoki Mondoy 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
Andrew Keoki Mondoy, LICSW 1600 E Olive St, Sound Mental Health, Seattle, WA 98122-2735 Ph: (206) 302-2200	Andrew Keoki Mondoy, LICSW 4240 Auburn Way N, Auburn, WA 98002-1311 Ph: (253) 876-8900

Reviews and Comments

Social Worker in Auburn, WA

Jennifer Beam, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30843 49th Ct S, Auburn, WA 98001 Phone: 270-547-9596
Elena Marie Cotton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1509 G St Se, Auburn, WA 98002 Phone: 253-351-9969 Fax: 253-351-9969
Ms. Shayna Kay Gambs, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 921 Harvey Rd Ne Ste C, Auburn, WA 98002 Phone: 253-939-2211 Fax: 253-939-2867
Racheal Stuth Reichel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1725 Hemlock Dr Se, Auburn, WA 98092 Phone: 253-569-7459
Janice Nordland, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6315 Perry Ave Se, Auburn, WA 98092 Phone: 253-245-9398
Lynn A Allar, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2704 I St Ne, Auburn, WA 98002 Phone: 253-833-7444 Fax: 253-735-4111
Cheryl Lynne Ellsworth, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 N Division St, Ms - 202-c3-pal, Auburn, WA 98001 Phone: 253-545-2578

Andrew Keoki Mondoy, LICSW - Medicare Clinical Social Worker in Auburn, WA