Souphaphone Hagan, in Fresno, CA - Medicare Clinical Social Worker Provider

Souphaphone Hagan, is a medicare enrolled "Social Worker - Clinical" provider in Fresno, California. She graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Thriveworks Clinical - California Pc and her current practice location is 496 S Barton Ave, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 860-4422.

Souphaphone Hagan is licensed to practice in California (license number 107193) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205466570.

Contact Information

	Souphaphone Hagan,
	496 S Barton Ave, Fresno, CA 93702-2985
	(559) 860-4422
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Souphaphone Hagan
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	496 S Barton Ave, Fresno, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Souphaphone Hagan graduated from medical school in 2015

NPI Data:

NPI Number: 1205466570
Provider Enumeration Date: 01/24/2020
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7416336870
Enrollment ID: I20220615002606

Medical Identifiers

Medical identifiers for Souphaphone Hagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205466570	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107193 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thriveworks Clinical - California Pc	1759785645	26

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. Souphaphone Hagan allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801481395 PECOS PAC ID: 1759785645 Enrollment ID: O20220421000008

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. Souphaphone Hagan 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
Souphaphone Hagan, 516 Villa Ave Ste 2, Clovis, CA 93612-0899 Ph: (559) 283-3818	Souphaphone Hagan, 496 S Barton Ave, Fresno, CA 93702-2985 Ph: (559) 860-4422

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

Souphaphone Hagan, - Medicare Clinical Social Worker in Fresno, CA