Joshua Bravo, LCSW in Salt Lake City, UT - Medicare Counselor Provider

Joshua Bravo, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Salt Lake City, Utah. His current practice location is 1380 S Main St, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 573-6323.

Joshua Bravo is licensed to practice in Utah (license number 7113178-3501) 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 1043635097.

Contact Information

	Joshua Bravo, LCSW
	1380 S Main St, Salt Lake City, UT 84115-5336
	(801) 573-6323
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Joshua Bravo
Gender	Male
Speciality	Counselor - Mental Health
Location	1380 S Main St, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043635097
Provider Enumeration Date: 02/27/2014
Last Update Date: 05/24/2019

Medicare PECOS Information:

PECOS PAC ID: 7618195876
Enrollment ID: I20140829000858

Medical Identifiers

Medical identifiers for Joshua Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043635097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7113178-3501 (Utah)	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. Joshua Bravo allows following entities to bill medicare on his behalf.

Entity Name	Utah Pride Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154745693 PECOS PAC ID: 1850514506 Enrollment ID: O20140527000988

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. Joshua Bravo 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
Joshua Bravo, LCSW Po Box 1078, Salt Lake City, UT 84110-1078 Ph: (801) 573-6323	Joshua Bravo, LCSW 1380 S Main St, Salt Lake City, UT 84115-5336 Ph: (801) 573-6323

Reviews and Comments

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Joshua Bravo, LCSW - Medicare Counselor in Salt Lake City, UT