Josue Daniel Enriquez Quezada, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Redlands, California. His current practice location is
1301 California St, Redlands, California. You can reach out to his office (for appointments etc.) via phone at
(951) 360-4175.
Josue Daniel Enriquez Quezada is licensed to practice in California (license number LCSW109993) 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 1639549991.
Healthcare Provider's Profile
Full Name | Josue Daniel Enriquez Quezada |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 1301 California St, Redlands, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639549991
- Provider Enumeration Date: 09/30/2015
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719355791
- Enrollment ID: I20221122003323
Medical Identifiers
Medical identifiers for Josue Daniel Enriquez Quezada such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639549991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW78569 (California) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW109993 (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. Josue Daniel Enriquez Quezada allows following entities to bill medicare on his behalf.
Entity Name | County Of San Bernardino |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
---|
Entity Name | Southern California Permanente Medical Group |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
---|
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. Josue Daniel Enriquez Quezada 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 |
Josue Daniel Enriquez Quezada, LCSW 1301 California St, Redlands, CA 92374-2910 Ph: (833) 574-2273 | Josue Daniel Enriquez Quezada, LCSW 1301 California St, Redlands, CA 92374-2910 Ph: (951) 360-4175 |
Reviews and Comments