Edmundo Castillo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Miami, Florida. His current practice location is
11034 W Flagler St, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at
(786) 744-1321.
Edmundo Castillo is licensed to practice in Florida (license number SW8865) 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 1578654497.
Healthcare Provider's Profile
| Full Name | Edmundo Castillo |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 11034 W Flagler St, Miami, Florida |
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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: 1578654497
- Provider Enumeration Date: 09/27/2006
- Last Update Date: 08/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759460074
- Enrollment ID: I20080512000210
Medical Identifiers
Medical identifiers for Edmundo Castillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578654497 | NPI | - | NPPES |
| 116883200 | Medicaid | FL | |
| 016154100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SW8865 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW8865 (Florida) | 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. Edmundo Castillo allows following entities to bill medicare on his behalf.
| Entity Name | Rega Mental Health Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932389319
PECOS PAC ID: 7517014947
Enrollment ID: O20090422000036 |
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| Entity Name | Banyan Community Health Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104247188
PECOS PAC ID: 0547410011
Enrollment ID: O20121017000910 |
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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. Edmundo Castillo 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 |
|---|
Edmundo Castillo, LCSW
1627 Nw 3rd St Apt 4,
Miami, FL 33125-4631
Ph: (305) 316-8506 | Edmundo Castillo, LCSW
11034 W Flagler St,
Miami, FL 33174-1222
Ph: (786) 744-1321 |
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