Mr Adam Emrich Gort, LCSW in San Bernardino, CA - Medicare Social Worker Provider

Mr Adam Emrich Gort, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Bernardino, California. His current practice location is 325 W Hospitality Ln Ste 312, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (866) 205-3595.

Mr Adam Emrich Gort is licensed to practice in California (license number 26002) 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 1316264021.

Contact Information

	Mr Adam Emrich Gort, LCSW
	325 W Hospitality Ln Ste 312, San Bernardino, CA 92408
	(866) 205-3595
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Adam Emrich Gort
Gender	Male
Speciality	Social Worker - Clinical
Location	325 W Hospitality Ln Ste 312, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316264021
Provider Enumeration Date: 04/21/2010
Last Update Date: 10/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9133314396
Enrollment ID: I20101112000918

Medical Identifiers

Medical identifiers for Mr Adam Emrich Gort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316264021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	26002 (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. Mr Adam Emrich Gort allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Mr Adam Emrich Gort 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
Mr Adam Emrich Gort, LCSW 325 W Hospitality Ln Ste 312, San Bernardino, CA 92408-3212 Ph: (866) 205-3595	Mr Adam Emrich Gort, LCSW 325 W Hospitality Ln Ste 312, San Bernardino, CA 92408 Ph: (866) 205-3595

Reviews and Comments

Social Worker in San Bernardino, CA

Ms. Crystal Lynn Blakkan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302
Emily J. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-648-7643
Enas Joseph, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-6940
Monique Castaneda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200
Susan Kimberly Gilliam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2080 S E St, San Bernardino, CA 92408 Phone: 909-388-9191
Rajvi Patel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302
Kimberly A Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 W 16th St, San Bernardino, CA 92411 Phone: 909-473-1200

Mr Adam Emrich Gort, LCSW - Medicare Clinical Social Worker in San Bernardino, CA