Alexander Tripoli, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Venice, California. His current practice location is
204 Hampton Dr, Venice, California. You can reach out to his office (for appointments etc.) via phone at
(310) 396-6468.
Alexander Tripoli is licensed to practice in California (license number 103914) 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 1699184879.
Healthcare Provider's Profile
| Full Name | Alexander Tripoli |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 204 Hampton Dr, Venice, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699184879
- Provider Enumeration Date: 08/12/2014
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 1557726817
- Enrollment ID: I20230420002788
Medical Identifiers
Medical identifiers for Alexander Tripoli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699184879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW77854 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 103914 (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. Alexander Tripoli allows following entities to bill medicare on his behalf.
| Entity Name | Silver Lake Psychology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932651817
PECOS PAC ID: 7012250582
Enrollment ID: O20190524000695 |
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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. Alexander Tripoli 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 |
|---|
Alexander Tripoli, LCSW
204 Hampton Dr,
Venice, CA 90291-2623
Ph: () - | Alexander Tripoli, LCSW
204 Hampton Dr,
Venice, CA 90291-2623
Ph: (310) 396-6468 |
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