Mr Bobby Jerome Davis, LCSW 24919 in Los Angeles, CA - Medicare Clinical Social Worker Provider

Mr Bobby Jerome Davis, LCSW 24919 is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice South Central Family Health Center, Southern California Permanente Medical Group and his current practice location is 4240 W 62nd St, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 299-0369.

Mr Bobby Jerome Davis is licensed to practice in California (license number 24919) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932230562.

Contact Information

	Mr Bobby Jerome Davis, LCSW 24919
	4240 W 62nd St, Los Angeles, CA 90043-3615
	(323) 299-0369
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Bobby Jerome Davis
Gender	Male
Speciality	Clinical Social Worker
Experience	22 Years
Location	4240 W 62nd St, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Bobby Jerome Davis graduated from medical school in 2002

NPI Data:

NPI Number: 1932230562
Provider Enumeration Date: 03/07/2007
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9032410170
Enrollment ID: I20151215002208

Medical Identifiers

Medical identifiers for Mr Bobby Jerome Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932230562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW 24919 (California)	Secondary
1041C0700X	Social Worker - Clinical	24919 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Central Family Health Center	5597675041	17
Southern California Permanente Medical Group	6002729175	8172

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 Bobby Jerome Davis 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: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Bobby Jerome Davis 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 Bobby Jerome Davis, LCSW 24919 6010 Wooster Ave, Los Angeles, CA 90056-1434 Ph: (818) 568-9029	Mr Bobby Jerome Davis, LCSW 24919 4240 W 62nd St, Los Angeles, CA 90043-3615 Ph: (323) 299-0369

Reviews and Comments

Social Worker in Los Angeles, CA

Myla T Howell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1605 Eastlake Ave, Los Angeles, CA 90033 Phone: 323-226-1871
Lucy S Villegas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 E 120th St, Los Angeles, CA 90059 Phone: 310-668-3201
Ms. Janie Michaels Grauman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 335 N La Brea Ave, Los Angeles, CA 90036 Phone: 323-634-3802 Fax: 323-634-3870
Jill Marie Stonerock, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6957 N Figueroa St, Los Angeles, CA 90042 Phone: 323-443-3175
Kathy Estrada Montes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 S Beaudry Ave, Los Angeles, CA 90017 Phone: 213-241-3841
Marc Richard Russak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1081 Westwood Blvd Ste 221, Los Angeles, CA 90024 Phone: 310-800-3986
Janet S. Cazares, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 W 1st St, Los Angeles, CA 90012 Phone: 310-668-3141

Mr Bobby Jerome Davis, LCSW 24919 - Medicare Clinical Social Worker in Los Angeles, CA