Austin Dean Nystrom, in San Luis Obispo, CA - Medicare Social Worker Provider

Austin Dean Nystrom, is a medicare enrolled "Social Worker - Clinical" provider in San Luis Obispo, California. His current practice location is 550 Higuera St Unit 33b, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at (530) 212-0288.

Austin Dean Nystrom is licensed to practice in California (license number 109696) 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 1861048928.

Contact Information

	Austin Dean Nystrom,
	550 Higuera St Unit 33b, San Luis Obispo, CA 93401-4195
	(530) 212-0288
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Austin Dean Nystrom
Gender	Male
Speciality	Social Worker - Clinical
Location	550 Higuera St Unit 33b, San Luis Obispo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861048928
Provider Enumeration Date: 08/14/2019
Last Update Date: 05/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8628435740
Enrollment ID: I20230606000918

Medical Identifiers

Medical identifiers for Austin Dean Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861048928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	91313 (California)	Secondary
1041C0700X	Social Worker - Clinical	109696 (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. Austin Dean Nystrom allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Austin Dean Nystrom 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
Austin Dean Nystrom, 550 Higuera St Unit 33b, San Luis Obispo, CA 93401-4195 Ph: (530) 212-0288	Austin Dean Nystrom, 550 Higuera St Unit 33b, San Luis Obispo, CA 93401-4195 Ph: (530) 212-0288

Reviews and Comments

Social Worker in San Luis Obispo, CA

Douglas Wayne Ballagh, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900
Mrs. Divina Gabuat, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4752
Andrea Diane Orr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Colony Rd, San Luis Obispo, CA 93409 Phone: 805-709-3508
Mr. William E. Watson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Colony Drive, San Luis Obispo, CA 93409 Phone: 547-790-0805
Alicia Dueck, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Casa St, San Luis Obispo, CA 93405 Phone: 805-269-1500
Coleen Buckley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4700
Ms. Francine Lorraine Jansen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1124 Nipomo Street, Suite A, San Luis Obispo, CA 93401 Phone: 805-541-7911 Fax: 805-595-7989

Austin Dean Nystrom, - Medicare Clinical Social Worker in San Luis Obispo, CA