Cedric Joesph Decory Jr, LMSW in Boise, ID - Medicare Social Worker Provider

Cedric Joesph Decory Jr, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. His current practice location is 2273 S Vista Ave Ste 190, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 343-2737.

Cedric Joesph Decory Jr is licensed to practice in Idaho (license number LMSW-39243) 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 1619514510.

Contact Information

	Cedric Joesph Decory Jr, LMSW
	2273 S Vista Ave Ste 190, Boise, ID 83705-7341
	(208) 343-2737
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cedric Joesph Decory Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	2273 S Vista Ave Ste 190, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619514510
Provider Enumeration Date: 12/10/2019
Last Update Date: 12/10/2019

Medicare PECOS Information:

PECOS PAC ID: 2365806908
Enrollment ID: I20230914001807

Medical Identifiers

Medical identifiers for Cedric Joesph Decory Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619514510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LMSW-39243 (Idaho)	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. Cedric Joesph Decory Jr allows following entities to bill medicare on his behalf.

Entity Name	Northend Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306230958 PECOS PAC ID: 2163720848 Enrollment ID: O20160413000693

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. Cedric Joesph Decory Jr 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
Cedric Joesph Decory Jr, LMSW 4724 W Franklin Rd, Boise, ID 83705-1217 Ph: (208) 412-0230	Cedric Joesph Decory Jr, LMSW 2273 S Vista Ave Ste 190, Boise, ID 83705-7341 Ph: (208) 343-2737

Reviews and Comments

Social Worker in Boise, ID

Mr. Johnny Josiah Meehan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 W Fairview Ave, Boise, ID 83704 Phone: 208-323-9600 Fax: 208-323-9606
Kristie Kaes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 208-367-7305
John Bradford Hunt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 N 9th St Ste 201c, Boise, ID 83702 Phone: 208-549-9597
Dr. Paula K Barrett, PSYD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018
Rachel Jessen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5985 W State St, Boise, ID 83703 Phone: 208-853-0071 Fax: 208-853-9422
Mr. Tom C Ahlrichs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-367-6044 Fax: 208-375-8817
Mrs. Amy Niblock Balzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 N Westgate Dr, Suite A-1, Boise, ID 83704 Phone: 208-334-0874 Fax: 208-334-0812

Cedric Joesph Decory Jr, LMSW - Medicare Clinical Social Worker in Boise, ID