Mr Jack Weitzman, LCSW in Alameda, CA - Medicare Social Worker Provider

Mr Jack Weitzman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Alameda, California. His current practice location is 1215 Fountain St, Alameda, California. You can reach out to his office (for appointments etc.) via phone at (408) 396-6191.

Mr Jack Weitzman is licensed to practice in California (license number LN009294) 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 1891852794.

Contact Information

	Mr Jack Weitzman, LCSW
	1215 Fountain St, Alameda, CA 94501-4824
	(408) 396-6191
	(408) 972-6494

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jack Weitzman
Gender	Male
Speciality	Social Worker - Clinical
Location	1215 Fountain St, Alameda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891852794
Provider Enumeration Date: 01/02/2007
Last Update Date: 01/02/2023

Medicare PECOS Information:

PECOS PAC ID: 7810948767
Enrollment ID: I20050208000615

Medical Identifiers

Medical identifiers for Mr Jack Weitzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891852794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LN009294 (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 Jack Weitzman allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Jack Weitzman 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 Jack Weitzman, LCSW 1215 Fountain St, Alameda, CA 94501-4824 Ph: (408) 396-6191	Mr Jack Weitzman, LCSW 1215 Fountain St, Alameda, CA 94501-4824 Ph: (408) 396-6191

Reviews and Comments

Social Worker in Alameda, CA

Ms. Krista Coffman Arrington, LCSW LEP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 246 Oyster Pond Rd, Alameda, CA 94502 Phone: 510-484-9082
Ms. Riva Star Gardner, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2325 Clement Ave Ste A, Alameda, CA 94501 Phone: 510-629-6300
Mrs. Michelle Macarai, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 Hansen Ave, Alameda, CA 94501 Phone: 510-205-1243
Mr. Dan Gary Wertheimer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 Phone: 510-995-8971
Ms. Margaret Ann Lucas, LCSW , MFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1429 Oak St, Alameda, CA 94501 Phone: 510-522-6554 Fax: 510-521-6729
Taura Greenfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Taylor Ave, Alameda, CA 94501 Phone: 510-388-7600
Elizabeth Ann Hoch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 339 Broadway, #104, Alameda, CA 94501 Phone: 510-407-7799

Mr Jack Weitzman, LCSW - Medicare Clinical Social Worker in Alameda, CA