Ian Hugh Adon Rivera, LCSW, MCAP in Brandon, FL - Medicare Social Worker Provider

Ian Hugh Adon Rivera, LCSW, MCAP is a medicare enrolled "Social Worker - Clinical" provider in Brandon, Florida. His current practice location is 1047 E Brandon Blvd, Brandon, Florida. You can reach out to his office (for appointments etc.) via phone at (414) 312-1010.

Ian Hugh Adon Rivera is licensed to practice in Florida (license number SW17093) 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 1164061040.

Contact Information

	Ian Hugh Adon Rivera, LCSW, MCAP
	1047 E Brandon Blvd, Brandon, FL 33511-5515
	(414) 312-1010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ian Hugh Adon Rivera
Gender	Male
Speciality	Social Worker - Clinical
Location	1047 E Brandon Blvd, Brandon, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164061040
Provider Enumeration Date: 12/24/2019
Last Update Date: 03/21/2020

Medicare PECOS Information:

PECOS PAC ID: 4587095559
Enrollment ID: I20200506001777

Medical Identifiers

Medical identifiers for Ian Hugh Adon Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164061040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW17093 (Florida)	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. Ian Hugh Adon Rivera allows following entities to bill medicare on his behalf.

Entity Name	Brandon Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649421389 PECOS PAC ID: 8527136977 Enrollment ID: O20081013000083

Entity Name	Total Life Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20210225003311

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Ian Hugh Adon Rivera 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
Ian Hugh Adon Rivera, LCSW, MCAP 12745 Lemon Pepper Dr, Riverview, FL 33578-7585 Ph: (414) 312-1010	Ian Hugh Adon Rivera, LCSW, MCAP 1047 E Brandon Blvd, Brandon, FL 33511-5515 Ph: (414) 312-1010

Reviews and Comments

Social Worker in Brandon, FL

Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802
Jessie A Shaw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Oakwood Ave, Brandon, FL 33510 Phone: 813-819-8704

Ian Hugh Adon Rivera, LCSW, MCAP - Medicare Clinical Social Worker in Brandon, FL