Alvin Penix Jr, MSW, CBHCM is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. His current practice location is
555 Stockton St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 387-4661.
Alvin Penix Jr is licensed to practice in Florida (license number SW21900) 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 1497420939.
Healthcare Provider's Profile
Full Name | Alvin Penix Jr |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 555 Stockton St, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497420939
- Provider Enumeration Date: 08/16/2021
- Last Update Date: 12/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527414499
- Enrollment ID: I20231030000040
Medical Identifiers
Medical identifiers for Alvin Penix Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497420939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SW21900 (Florida) | 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. Alvin Penix Jr allows following entities to bill medicare on his behalf.
Entity Name | Gateway Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356305338 PECOS PAC ID: 7618056649 Enrollment ID: O20221207000679 |
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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. Alvin Penix Jr 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 |
Alvin Penix Jr, MSW, CBHCM 555 Stockton St, Jacksonville, FL 32204-2534 Ph: (904) 387-4661 | Alvin Penix Jr, MSW, CBHCM 555 Stockton St, Jacksonville, FL 32204-2534 Ph: (904) 387-4661 |
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