Mr Jeffrey Alan Rich Ii, LCSW #101697 is a medicare enrolled "Social Worker - Clinical" provider in Eureka, California. His current practice location is
720 Wood St, Eureka, California. You can reach out to his office (for appointments etc.) via phone at
(707) 268-2990.
Mr Jeffrey Alan Rich Ii is licensed to practice in California (license number LCSW101697) 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 1811324130.
Healthcare Provider's Profile
| Full Name | Mr Jeffrey Alan Rich Ii |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 720 Wood St, Eureka, 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: 1811324130
- Provider Enumeration Date: 10/01/2013
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305211509
- Enrollment ID: I20230330002827
Medical Identifiers
Medical identifiers for Mr Jeffrey Alan Rich Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811324130 | NPI | - | NPPES |
| 7420 | Medicaid | CA | |
| 7068 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | ASW83533 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW101697 (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. Mr Jeffrey Alan Rich Ii allows following entities to bill medicare on his behalf.
| Entity Name | County Of Humboldt |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871676213
PECOS PAC ID: 4082516950
Enrollment ID: O20040121001146 |
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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. Mr Jeffrey Alan Rich Ii 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 Jeffrey Alan Rich Ii, LCSW #101697
720 Wood St,
Eureka, CA 95501-4413
Ph: (707) 268-2990 | Mr Jeffrey Alan Rich Ii, LCSW #101697
720 Wood St,
Eureka, CA 95501
Ph: (707) 268-2990 |
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