Dickyi Dolker Charwathakyi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Rafael, California. Her current practice location is
1477 Lincoln Ave, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at
(415) 459-2395.
Dickyi Dolker Charwathakyi is licensed to practice in * (Not Available) (license number LCSW76569) 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 1437466695.
Healthcare Provider's Profile
| Full Name | Dickyi Dolker Charwathakyi |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1477 Lincoln Ave, San Rafael, 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: 1437466695
- Provider Enumeration Date: 09/09/2010
- Last Update Date: 05/25/2017
Medicare PECOS Information:
- PECOS PAC ID: 7517210016
- Enrollment ID: I20181031001005
Medical Identifiers
Medical identifiers for Dickyi Dolker Charwathakyi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437466695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ASW00028808 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW76569 (* (Not Available)) | 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. Dickyi Dolker Charwathakyi allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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| Entity Name | Contra Costa County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376620336
PECOS PAC ID: 8628052974
Enrollment ID: O20050707001058 |
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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. Dickyi Dolker Charwathakyi 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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Dickyi Dolker Charwathakyi, LCSW
1420 Willow Pass Rd, Suite 200,
Concord, CA 94520-2028
Ph: (925) 521-5150 | Dickyi Dolker Charwathakyi, LCSW
1477 Lincoln Ave,
San Rafael, CA 94901-2028
Ph: (415) 459-2395 |
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