Deborah Rachell Bryant, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tuolumne, California. Her current practice location is
18880 Cherry Valley Blvd, Tuolumne, California. You can reach out to her office (for appointments etc.) via phone at
(209) 928-5400.
Deborah Rachell Bryant is licensed to practice in California (license number LCS26623) 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 1194006916.
Healthcare Provider's Profile
| Full Name | Deborah Rachell Bryant |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 18880 Cherry Valley Blvd, Tuolumne, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194006916
- Provider Enumeration Date: 09/07/2011
- Last Update Date: 09/07/2011
Medicare PECOS Information:
- PECOS PAC ID: 3072999242
- Enrollment ID: I20220927000289
Medical Identifiers
Medical identifiers for Deborah Rachell Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194006916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | LCS26623 (California) | Primary |
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 421925 (California) | Secondary |
| 163WS0200X | Registered Nurse - School | 421925 (California) | 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. Deborah Rachell Bryant allows following entities to bill medicare on her behalf.
| Entity Name | Us Televero Health Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992318992
PECOS PAC ID: 7911318241
Enrollment ID: O20201118000091 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220525002138 |
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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. Deborah Rachell Bryant 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 |
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Deborah Rachell Bryant, LCSW
Po Box 3322,
Sonora, CA 95370-3322
Ph: (209) 533-4589 | Deborah Rachell Bryant, LCSW
18880 Cherry Valley Blvd,
Tuolumne, CA 95379-9506
Ph: (209) 928-5400 |
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