Brian D Hardgrave, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Marino, California. His current practice location is
2600 Mission St, San Marino, California. You can reach out to his office (for appointments etc.) via phone at
(626) 701-4249.
Brian D Hardgrave is licensed to practice in California (license number LCSW68027) 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 1023349636.
Healthcare Provider's Profile
| Full Name | Brian D Hardgrave |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2600 Mission St, San Marino, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1023349636
- Provider Enumeration Date: 01/21/2010
- Last Update Date: 03/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 6709245392
- Enrollment ID: I20230629001630
Medical Identifiers
Medical identifiers for Brian D Hardgrave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023349636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW68027 (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. Brian D Hardgrave allows following entities to bill medicare on his behalf.
| Entity Name | Soultenders Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1164617007
PECOS PAC ID: 6507170453
Enrollment ID: O20150917001766 |
|---|
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. Brian D Hardgrave 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 |
|---|
Brian D Hardgrave, LCSW
Po Box 965,
Alhambra, CA 91802-0965
Ph: (213) 640-9796 | Brian D Hardgrave, LCSW
2600 Mission St,
San Marino, CA 91108
Ph: (626) 701-4249 |
Reviews and Comments