Harry Um, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
11080 W Olympic Blvd, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(310) 966-6668.
Harry Um is licensed to practice in California (license number LCSW85804) 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 1740615178.
Healthcare Provider's Profile
Full Name | Harry Um |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 11080 W Olympic Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740615178
- Provider Enumeration Date: 09/04/2013
- Last Update Date: 07/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850624719
- Enrollment ID: I20190607000540
Medical Identifiers
Medical identifiers for Harry Um such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740615178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW68118 (California) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW85804 (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. Harry Um allows following entities to bill medicare on his behalf.
Entity Name | Los Angeles County Department Of Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083633929 PECOS PAC ID: 7416869896 Enrollment ID: O20031104000319 |
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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. Harry Um 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 |
Harry Um, 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 Ph: (310) 966-6668 | Harry Um, 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 Ph: (310) 966-6668 |
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