Adrian Gabriel Elicegui, is a medicare enrolled "Social Worker - Clinical" provider in Covina, California. His current practice location is
1126 N Grand Ave, Suite B, Covina, California. You can reach out to his office (for appointments etc.) via phone at
(626) 967-1667.
Adrian Gabriel Elicegui is licensed to practice in California (license number LCSW87914) 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 1528212461.
Healthcare Provider's Profile
| Full Name | Adrian Gabriel Elicegui |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1126 N Grand Ave, Covina, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1528212461
- Provider Enumeration Date: 11/05/2008
- Last Update Date: 02/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 7113344961
- Enrollment ID: I20200825003634
Medical Identifiers
Medical identifiers for Adrian Gabriel Elicegui such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528212461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW87914 (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. Adrian Gabriel Elicegui allows following entities to bill medicare on his behalf.
| Entity Name | Pacific Clinics |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1255496105
PECOS PAC ID: 4082008420
Enrollment ID: O20220228001926 |
|---|
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. Adrian Gabriel Elicegui 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 |
|---|
Adrian Gabriel Elicegui,
1126 N Grand Ave, Suite B,
Covina, CA 91724-1551
Ph: (626) 967-1667 | Adrian Gabriel Elicegui,
1126 N Grand Ave, Suite B,
Covina, CA 91724-1551
Ph: (626) 967-1667 |
Reviews and Comments