Mr Jose Alfredo Aguilar, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fresno, California. His current practice location is
1225 M St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at
(559) 600-9357.
Mr Jose Alfredo Aguilar is licensed to practice in California (license number 72128) 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 1730495060.
Healthcare Provider's Profile
| Full Name | Mr Jose Alfredo Aguilar |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1225 M St, Fresno, 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: 1730495060
- Provider Enumeration Date: 08/24/2010
- Last Update Date: 03/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193069276
- Enrollment ID: I20210722001228
Medical Identifiers
Medical identifiers for Mr Jose Alfredo Aguilar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730495060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 72128 (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 Jose Alfredo Aguilar allows following entities to bill medicare on his behalf.
| Entity Name | Lucid Lane Providers Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912507021
PECOS PAC ID: 2163839382
Enrollment ID: O20210405001773 |
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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 Jose Alfredo Aguilar 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 Jose Alfredo Aguilar, LCSW
6291 E Harvard Ave # A,
Fresno, CA 93727-8954
Ph: (559) 728-6415 | Mr Jose Alfredo Aguilar, LCSW
1225 M St,
Fresno, CA 93721
Ph: (559) 600-9357 |
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