Jim Roque Tang Jr, LCSW is a medicare enrolled "Social Worker - Clinical" provider in North Hills, California. His current practice location is
15305 Rayen St, North Hills, California. You can reach out to his office (for appointments etc.) via phone at
(818) 892-3423.
Jim Roque Tang Jr is licensed to practice in California (license number LCSW104671) 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 1982026613.
Healthcare Provider's Profile
| Full Name | Jim Roque Tang Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 15305 Rayen St, North Hills, 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: 1982026613
- Provider Enumeration Date: 01/15/2014
- Last Update Date: 12/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062955008
- Enrollment ID: I20240619001051
Medical Identifiers
Medical identifiers for Jim Roque Tang Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982026613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW78635 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW104671 (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. Jim Roque Tang Jr allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. Jim Roque Tang Jr 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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Jim Roque Tang Jr, LCSW
15305 Rayen St,
North Hills, CA 91343-5117
Ph: (818) 892-3423 | Jim Roque Tang Jr, LCSW
15305 Rayen St,
North Hills, CA 91343-5117
Ph: (818) 892-3423 |
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