Angelo Adson Sr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Philadelphia, Pennsylvania. His current practice location is
4254 Chestnut St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 386-8490.
Angelo Adson Sr is licensed to practice in Pennsylvania (license number CW015768) 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 1649603473.
Healthcare Provider's Profile
| Full Name | Angelo Adson Sr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4254 Chestnut St, Philadelphia, Pennsylvania |
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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: 1649603473
- Provider Enumeration Date: 08/15/2013
- Last Update Date: 08/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 6406087949
- Enrollment ID: I20230418001956
Medical Identifiers
Medical identifiers for Angelo Adson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649603473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | CW015768 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW015768 (Pennsylvania) | 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. Angelo Adson Sr allows following entities to bill medicare on his behalf.
| Entity Name | Southern Jersey Family Medical Centers, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568473973
PECOS PAC ID: 0547170763
Enrollment ID: O20040917000774 |
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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. Angelo Adson Sr 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 |
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Angelo Adson Sr, LCSW
110 W Greenwood Ave,
Lansdowne, PA 19050-1866
Ph: (610) 259-1205 | Angelo Adson Sr, LCSW
4254 Chestnut St,
Philadelphia, PA 19104-3015
Ph: (215) 386-8490 |
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