Mr Gordon Dean Bathel, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tucson, Arizona. His current practice location is
5210 E Pima St, Suite #140, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 275-6780.
Mr Gordon Dean Bathel is licensed to practice in Arizona (license number LCSW-0974) 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 1215959192.
Healthcare Provider's Profile
Full Name | Mr Gordon Dean Bathel |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5210 E Pima St, Tucson, Arizona |
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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: 1215959192
- Provider Enumeration Date: 07/23/2006
- Last Update Date: 04/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749233872
- Enrollment ID: I20050301000248
Medical Identifiers
Medical identifiers for Mr Gordon Dean Bathel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215959192 | NPI | - | NPPES |
CSW9741 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-0167 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-0974 (Arizona) | Primary |
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. Mr Gordon Dean Bathel 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 |
Mr Gordon Dean Bathel, LCSW 5210 E Pima St Ste 115, Tucson, AZ 85712-3691 Ph: (520) 275-6780 | Mr Gordon Dean Bathel, LCSW 5210 E Pima St, Suite #140, Tucson, AZ 85712-3664 Ph: (520) 275-6780 |
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