Geoffrey Paul Bork, LCSW in Camp Pendleton, CA - Medicare Social Worker Provider

Geoffrey Paul Bork, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Camp Pendleton, California. His current practice location is 11th Street, Building 16105, Camp Pendleton, California. You can reach out to his office (for appointments etc.) via phone at (760) 725-5538.

Geoffrey Paul Bork is licensed to practice in California (license number 87459) 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 1720677859.

Contact Information

	Geoffrey Paul Bork, LCSW
	11th Street, Building 16105, Camp Pendleton, CA 92005-9200
	(760) 725-5538
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Geoffrey Paul Bork
Gender	Male
Speciality	Social Worker - Clinical
Location	11th Street, Camp Pendleton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720677859
Provider Enumeration Date: 01/13/2021
Last Update Date: 10/08/2021

Medicare PECOS Information:

PECOS PAC ID: 5698130474
Enrollment ID: I20230501000934

Medical Identifiers

Medical identifiers for Geoffrey Paul Bork such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720677859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	87459 (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. Geoffrey Paul Bork 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. Geoffrey Paul Bork 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
Geoffrey Paul Bork, LCSW 30419 Terrain St, Murrieta, CA 92563-1822 Ph: (619) 884-2061	Geoffrey Paul Bork, LCSW 11th Street, Building 16105, Camp Pendleton, CA 92005-9200 Ph: (760) 725-5538

Reviews and Comments

Social Worker in Camp Pendleton, CA

Mr. Gregory George Barisich, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bldg H-100 Santa Margarita Road, Naval Hospital, Camp Pendleton (n68094), Camp Pendleton, CA 92055 Phone: 760-725-0025
Valery Krupnik, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, Camp Pendleton, CA 92055 Phone: 760-719-3312
Ms. Ingrid H Weibust, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Building 130193t A Street, Box 55020, Camp Pendleton, CA 92055 Phone: 760-725-8301
Mary Broccoli, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Camp Pendleton, Attention: Code 094, Camp Pendleton, CA 92055 Phone: 760-725-1555 Fax: 760-725-1350
Susan Marie Gallardo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2016 San Jacinto Road, Camp Pendleton, CA 92055 Phone: 760-719-4203
Leslie Y Vazquez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Mercy Circle, H200, Camp Pendleton, CA 92055 Phone: 760-719-3200
Mr. Steven Wayne Cappiello, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Naval Hospital, Camp Pendleton Santa Margarita Road, Bldg H100 Code Cs-pa, Camp Pendleton, CA 92055 Phone: 760-725-1318

Geoffrey Paul Bork, LCSW - Medicare Clinical Social Worker in Camp Pendleton, CA