Crystal Thao, LCSW in Livermore, CA - Medicare Social Worker Provider

Crystal Thao, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Livermore, California. Her current practice location is 300 Pullman St, Livermore, California. You can reach out to her office (for appointments etc.) via phone at (925) 872-3259.

Crystal Thao is licensed to practice in California (license number 88349) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609183748.

Contact Information

	Crystal Thao, LCSW
	300 Pullman St, Livermore, CA 94551-9756
	(925) 872-3259
	(925) 294-7202

Map and Direction

Healthcare Provider's Profile

Full Name	Crystal Thao
Gender	Female
Speciality	Social Worker - Clinical
Location	300 Pullman St, Livermore, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609183748
Provider Enumeration Date: 09/10/2010
Last Update Date: 02/15/2023

Medicare PECOS Information:

PECOS PAC ID: 3173857158
Enrollment ID: I20190625002029

Medical Identifiers

Medical identifiers for Crystal Thao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609183748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	88349 (California)	Primary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary

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. Crystal Thao allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Crystal Thao 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
Crystal Thao, LCSW 10048 Tivoli Dr, Stockton, CA 95212-3115 Ph: (530) 282-9969	Crystal Thao, LCSW 300 Pullman St, Livermore, CA 94551-9756 Ph: (925) 872-3259

Reviews and Comments

Social Worker in Livermore, CA

Holland Chasma Jordan, LMSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Livermore, CA 94550 Phone: 925-373-4700
Ms. Stephanie Crouch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2633 Kellogg Ct, Livermore, CA 94550 Phone: 925-789-7080
Mr. Stephen Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd Rm 446, Livermore, CA 94550 Phone: 650-509-0693 Fax: 650-614-9896
Sharon Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7011 East Ave, Livermore, CA 94550 Phone: 925-294-2700
Ms. Susan Gladstone Faulds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4951 Arroyo Rd, Livermore, CA 94550 Phone: 925-373-4700 Fax: 925-449-6525
Mr. Jordan Boehler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1797 4th St, Livermore, CA 94550 Phone: 925-443-2500
Ms. Carolyn Wander Daniel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1430 2nd St, Livermore, CA 94550 Phone: 925-960-0863 Fax: 925-373-0453

Crystal Thao, LCSW - Medicare Clinical Social Worker in Livermore, CA