Edgar Rico, is a medicare enrolled "Social Worker - Clinical" provider in Glendora, California. His current practice location is
1160 S Grand Ave, Glendora, California. You can reach out to his office (for appointments etc.) via phone at
(626) 335-5980.
Edgar Rico is licensed to practice in California (license number 100177) 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 1104241470.
Healthcare Provider's Profile
| Full Name | Edgar Rico |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1160 S Grand Ave, Glendora, 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: 1104241470
- Provider Enumeration Date: 02/24/2014
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153720784
- Enrollment ID: I20210601001843
Medical Identifiers
Medical identifiers for Edgar Rico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104241470 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW76002 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 100177 (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. Edgar Rico allows following entities to bill medicare on his behalf.
| Entity Name | Self Care Counseling Marriage Family And Child Therapy Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558909960
PECOS PAC ID: 6608267000
Enrollment ID: O20211220000157 |
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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. Edgar Rico 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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Edgar Rico,
8323 Artson St,
Rosemead, CA 91770-2611
Ph: (626) 378-4288 | Edgar Rico,
1160 S Grand Ave,
Glendora, CA 91740-5000
Ph: (626) 335-5980 |
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