Mr Keith Jerome Delaere, LCSW in Fresno, CA - Medicare Social Worker Provider

Mr Keith Jerome Delaere, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fresno, California. His current practice location is 4785 N 1st St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 448-5251.

Mr Keith Jerome Delaere is licensed to practice in California (license number LCS 17721) 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 1780744995.

Contact Information

	Mr Keith Jerome Delaere, LCSW
	4785 N 1st St, Fresno, CA 93726-0513
	(559) 448-5251
	(559) 448-4950

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Keith Jerome Delaere
Gender	Male
Speciality	Social Worker - Clinical
Location	4785 N 1st St, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780744995
Provider Enumeration Date: 12/11/2006
Last Update Date: 01/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1850602145
Enrollment ID: I20150612000065

Medical Identifiers

Medical identifiers for Mr Keith Jerome Delaere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780744995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS 17721 (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 Keith Jerome Delaere 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 Keith Jerome Delaere 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 Keith Jerome Delaere, LCSW 4785 N 1st St, Fresno, CA 93726-0513 Ph: (559) 448-5251	Mr Keith Jerome Delaere, LCSW 4785 N 1st St, Fresno, CA 93726-0513 Ph: (559) 448-5251

Reviews and Comments

Social Worker in Fresno, CA

Jodi Marr, AA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 M St, Fresno, CA 93721 Phone: 559-457-3940
Mrs. Stephanie Ann Cocci, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Building 12-hchv, Fresno, CA 93703 Phone: 559-351-0459
Mrs. Allyson Jennifer Torres, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1156 W Escalon Ave, Fresno, CA 93711 Phone: 559-210-4525
Samantha Oleson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 677 E Roberts Ave, Fresno, CA 93710 Phone: 559-355-7207
Ms. Lynn Lirette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5740 N Palm, #105, Fresno, CA 93704 Phone: 559-224-8419 Fax: 559-431-1951
Ms. Irene Alice Aparicio, MS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2109 W Bullard Ave, Suite 145, Fresno, CA 93711 Phone: 559-439-1534
Ms. Johanna Carroll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1600 M St, Fresno, CA 93721 Phone: 559-237-4706

Mr Keith Jerome Delaere, LCSW - Medicare Clinical Social Worker in Fresno, CA