Mr John A Pacheco, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Stratford, Connecticut. He went to Fordham University School Of Medicine and graduated in 1984 and has 41 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1825 Barnum Ave, Suite #304, Stratford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 375-5782.
Mr John A Pacheco is licensed to practice in Connecticut (license number 001606) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1073531133.
Healthcare Provider's Profile
| Full Name | Mr John A Pacheco |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 41 Years |
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| Location | 1825 Barnum Ave, Stratford, Connecticut |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr John A Pacheco attended and graduated from Fordham University School Of Medicine in 1984
NPI Data:
- NPI Number: 1073531133
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 01/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 0840385902
- Enrollment ID: I20111206000603
Medical Identifiers
Medical identifiers for Mr John A Pacheco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073531133 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000248 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 001606 (Connecticut) | 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 John A Pacheco allows following entities to bill medicare on his behalf.
| Entity Name | Personal Growth Concepts, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104850353
PECOS PAC ID: 9234224395
Enrollment ID: O20071004000078 |
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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 John A Pacheco 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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Mr John A Pacheco, LCSW, LADC
2505 Main St Ste 231,
Stratford, CT 06615-5839
Ph: (203) 375-5782 | Mr John A Pacheco, LCSW, LADC
1825 Barnum Ave, Suite #304,
Stratford, CT 06614-5333
Ph: (203) 375-5782 |
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