Ann Catherine Eicker, is a medicare enrolled "Social Worker - Clinical" provider in Gardena, California. Her current practice location is
130 W Victoria St, Gardena, California. You can reach out to her office (for appointments etc.) via phone at
(310) 715-2020.
Ann Catherine Eicker is licensed to practice in California (license number 82681) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821280017.
Healthcare Provider's Profile
| Full Name | Ann Catherine Eicker |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 130 W Victoria St, Gardena, 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: 1821280017
- Provider Enumeration Date: 08/13/2007
- Last Update Date: 09/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 3971975871
- Enrollment ID: I20230201003204
Medical Identifiers
Medical identifiers for Ann Catherine Eicker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821280017 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW34031 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 82681 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 82681 (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. Ann Catherine Eicker allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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| Entity Name | Thrive Psychological Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528640026
PECOS PAC ID: 1658744974
Enrollment ID: O20230307000584 |
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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. Ann Catherine Eicker 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 |
|---|
Ann Catherine Eicker,
108 W Victoria St,
Gardena, CA 90248-3523
Ph: (310) 715-2020 | Ann Catherine Eicker,
130 W Victoria St,
Gardena, CA 90248-3523
Ph: (310) 715-2020 |
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