Phyllis Farmer, in Stockton, CA - Medicare Social Worker Provider

Phyllis Farmer, is a medicare enrolled "Social Worker - Clinical" provider in Stockton, California. His current practice location is 3645 Shadowbrook Dr, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 518-9789.

Phyllis Farmer is licensed to practice in Arizona (license number 20579) 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 1639899818.

Contact Information

	Phyllis Farmer,
	3645 Shadowbrook Dr, Stockton, CA 95219-1726
	(209) 518-9789
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Phyllis Farmer
Gender	Male
Speciality	Social Worker - Clinical
Location	3645 Shadowbrook Dr, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639899818
Provider Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 1456722271
Enrollment ID: I20230113001086

Medical Identifiers

Medical identifiers for Phyllis Farmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639899818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	79760 (California)	Secondary
1041C0700X	Social Worker - Clinical	20579 (Arizona)	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. Phyllis Farmer allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Phyllis Farmer 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
Phyllis Farmer, 3645 Shadowbrook Dr, Stockton, CA 95219-1726 Ph: (209) 518-9789	Phyllis Farmer, 3645 Shadowbrook Dr, Stockton, CA 95219-1726 Ph: (209) 518-9789

Reviews and Comments

Social Worker in Stockton, CA

Donna L Bickham, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-953-7313 Fax: 209-468-9633
Krystal Madeline Avila, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Stockton, CA 95207 Phone: 209-465-1080
Shani Dharmasena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1545 Saint Marks Plz, Stockton, CA 95207 Phone: 209-741-7888
Ms. Carol Jeanne Willmett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8296 Fax: 209-468-3516
Tiffany Dewitte, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-7462
Mrs. Torrie Alyn-hughes Piasecki, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-598-6903
Grace Disilvestro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln Ste 125, Stockton, CA 95207 Phone: 209-465-1080 Fax: 209-465-2709

Phyllis Farmer, - Medicare Clinical Social Worker in Stockton, CA