Jeffrey Douglas Coira, LCSW, MA, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Houston, Texas. His current practice location is
4801 Woodway Dr Ste 318w, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(713) 364-4155.
Jeffrey Douglas Coira is licensed to practice in Texas (license number 105158) 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 1639894306.
Healthcare Provider's Profile
| Full Name | Jeffrey Douglas Coira |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4801 Woodway Dr Ste 318w, Houston, Texas |
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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: 1639894306
- Provider Enumeration Date: 10/05/2022
- Last Update Date: 08/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294176947
- Enrollment ID: I20240513000123
Medical Identifiers
Medical identifiers for Jeffrey Douglas Coira such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639894306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15589 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 105158 (Texas) | 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. Jeffrey Douglas Coira allows following entities to bill medicare on his behalf.
| Entity Name | Brightside Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801355482
PECOS PAC ID: 6608262464
Enrollment ID: O20230403000549 |
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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. Jeffrey Douglas Coira 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 |
|---|
Jeffrey Douglas Coira, LCSW, MA, LCDC
4801 Woodway Dr Ste 318w,
Houston, TX 77056-1642
Ph: (713) 364-4155 | Jeffrey Douglas Coira, LCSW, MA, LCDC
4801 Woodway Dr Ste 318w,
Houston, TX 77056-1642
Ph: (713) 364-4155 |
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