Mr Raymond Cabot Radeka, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Redlands, California. His current practice location is
26001 Redlands Blvd # Ca, Redlands, California. You can reach out to his office (for appointments etc.) via phone at
(909) 825-7084.
Mr Raymond Cabot Radeka is licensed to practice in California (license number 122683) 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 1912336835.
Healthcare Provider's Profile
Full Name | Mr Raymond Cabot Radeka |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 26001 Redlands Blvd # Ca, 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: 1912336835
- Provider Enumeration Date: 11/01/2013
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961942388
- Enrollment ID: I20240911003078
Medical Identifiers
Medical identifiers for Mr Raymond Cabot Radeka such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912336835 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW102529 (California) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | AII057290518 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 122683 (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 Raymond Cabot Radeka allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
---|
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 Raymond Cabot Radeka 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 Raymond Cabot Radeka, LCSW Po Box 2388, Lake Arrowhead, CA 92352-2388 Ph: (909) 825-7084 | Mr Raymond Cabot Radeka, LCSW 26001 Redlands Blvd # Ca, Redlands, CA 92373-7762 Ph: (909) 825-7084 |
Reviews and Comments