Mr Glenn James Larock, LICSW in Boise, ID - Medicare Social Worker Provider

Mr Glenn James Larock, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. His current practice location is 100 E Idaho St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2711.

Mr Glenn James Larock is licensed to practice in Idaho (license number LCSW-35629) 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 1194816884.

Contact Information

	Mr Glenn James Larock, LICSW
	100 E Idaho St, Boise, ID 83712-6267
	(208) 381-2711
	(208) 381-4025

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Glenn James Larock
Gender	Male
Speciality	Social Worker - Clinical
Location	100 E Idaho St, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194816884
Provider Enumeration Date: 09/27/2006
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 1052768843
Enrollment ID: I20231116000851

Medical Identifiers

Medical identifiers for Mr Glenn James Larock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194816884	NPI	-	NPPES
1063650	Other	MA	NHP PROVIDER NUMBER
416714	Other	MA	MAGELLAN PROVIDER NUMBER
P08083	Other	MA	BCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	110763 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	089 0092617 (Vermont)	Secondary
1041C0700X	Social Worker - Clinical	LCSW-35629 (Idaho)	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 Glenn James Larock allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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 Glenn James Larock 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 Glenn James Larock, LICSW 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Mr Glenn James Larock, LICSW 100 E Idaho St, Boise, ID 83712-6267 Ph: (208) 381-2711

Reviews and Comments

Social Worker in Boise, ID

Mr. Johnny Josiah Meehan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 W Fairview Ave, Boise, ID 83704 Phone: 208-323-9600 Fax: 208-323-9606
Kristie Kaes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 208-367-7305
John Bradford Hunt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 N 9th St Ste 201c, Boise, ID 83702 Phone: 208-549-9597
Dr. Paula K Barrett, PSYD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018
Rachel Jessen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5985 W State St, Boise, ID 83703 Phone: 208-853-0071 Fax: 208-853-9422
Mr. Tom C Ahlrichs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-367-6044 Fax: 208-375-8817
Mrs. Amy Niblock Balzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 N Westgate Dr, Suite A-1, Boise, ID 83704 Phone: 208-334-0874 Fax: 208-334-0812

Mr Glenn James Larock, LICSW - Medicare Clinical Social Worker in Boise, ID