Selam Kidane, LCSW in Santa Clara, CA - Medicare Social Worker Provider

Selam Kidane, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Clara, California. Her current practice location is 777 Lawrence Expy, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-1000.

Selam Kidane is licensed to practice in California (license number 86301) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609332501.

Contact Information

	Selam Kidane, LCSW
	777 Lawrence Expy, Santa Clara, CA 95051-5195
	(408) 851-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Selam Kidane
Gender	Female
Speciality	Social Worker - Clinical
Location	777 Lawrence Expy, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609332501
Provider Enumeration Date: 02/15/2019
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8022419753
Enrollment ID: I20210701000858

Medical Identifiers

Medical identifiers for Selam Kidane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609332501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	86301 (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. Selam Kidane allows following entities to bill medicare on her 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. Selam Kidane 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
Selam Kidane, LCSW 2930 Huff Ave Apt 12, San Jose, CA 95128-3010 Ph: (408) 930-5280	Selam Kidane, LCSW 777 Lawrence Expy, Santa Clara, CA 95051-5195 Ph: (408) 851-1000

Reviews and Comments

Social Worker in Santa Clara, CA

Mrs. Baljit Dhanjal Nagi, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1659 Scott Blvd Ste 30, Santa Clara, CA 95050 Phone: 140-824-4183
Lashonda Renea Eagels, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Daniella Galaviz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088
Ms. Prescilla Danielle John, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 646-681-7506
Lindsey Garber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 707-583-1703
Sara C Cadalig, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1000
Jennifer Bradley-weiss, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222

Selam Kidane, LCSW - Medicare Clinical Social Worker in Santa Clara, CA