Mr Javier Medina, LCSW in Beaumont, TX - Medicare Social Worker Provider

Mr Javier Medina, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Beaumont, Texas. His current practice location is 3455 Stagg Dr, Beaumont, Texas. You can reach out to his office (for appointments etc.) via phone at (832) 548-5000.

Mr Javier Medina is licensed to practice in Texas (license number 58659) 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 1740868330.

Contact Information

	Mr Javier Medina, LCSW
	3455 Stagg Dr, Beaumont, TX 77701-4521
	(832) 548-5000
	(409) 833-2829

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Javier Medina
Gender	Male
Speciality	Social Worker - Clinical
Location	3455 Stagg Dr, Beaumont, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740868330
Provider Enumeration Date: 04/01/2021
Last Update Date: 04/11/2023

Medicare PECOS Information:

PECOS PAC ID: 6103229752
Enrollment ID: I20210720003959

Medical Identifiers

Medical identifiers for Mr Javier Medina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740868330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	58659 (Texas)	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 Javier Medina allows following entities to bill medicare on his behalf.

Entity Name	Legacy Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516

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 Javier Medina 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 Javier Medina, LCSW Po Box 66308, Houston, TX 77266-6308 Ph: (832) 548-5000	Mr Javier Medina, LCSW 3455 Stagg Dr, Beaumont, TX 77701-4521 Ph: (832) 548-5000

Reviews and Comments

Social Worker in Beaumont, TX

Ms. Denise E Cherewaty, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8109 Gladys Suite 103, Beaumont, TX 77706 Phone: 409-899-4014
Johnathon Elizaio Zarate, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 275 Chateau Ln, Beaumont, TX 77707 Phone: 409-466-5325
Ms. Ann Kimbrough Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 155 Interstate 10 N, Second Floor - Suite 1, Beaumont, TX 77707 Phone: 409-899-1656
Dr. Virginia (ginger) Silloway Gummelt, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1535 Infinity Ln, Beaumont, TX 77706 Phone: 409-790-3337
Latineya Detrice Henderson, LCSW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5720 Brett Ln, Beaumont, TX 77713 Phone: 409-338-2193
Mrs. Andrea R. Donart, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2780 Eastex Frwy, Beaumont, TX 77704 Phone: 409-724-0281 Fax: 409-832-0145
Ms. Sue Ann Simmons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8109 Gladys Ave, Ste. 102, Beaumont, TX 77706 Phone: 409-860-9397 Fax: 409-860-0223

Mr Javier Medina, LCSW - Medicare Clinical Social Worker in Beaumont, TX