Raul Antonio Perez, is a medicare enrolled "Social Worker" provider in Inglewood, California. His current practice location is
323 N Prairie Ave, Inglewood, California. You can reach out to his office (for appointments etc.) via phone at
(310) 846-2100.
Raul Antonio Perez is licensed to practice in California (license number 113171) 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 1073857561.
Healthcare Provider's Profile
| Full Name | Raul Antonio Perez |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 323 N Prairie Ave, Inglewood, 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: 1073857561
- Provider Enumeration Date: 11/21/2012
- Last Update Date: 02/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719349018
- Enrollment ID: I20230818000859
Medical Identifiers
Medical identifiers for Raul Antonio Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073857561 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 85903 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 113171 (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. Raul Antonio Perez allows following entities to bill medicare on his behalf.
| Entity Name | Didi Hirsch Psychiatric Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730299959
PECOS PAC ID: 3870537194
Enrollment ID: O20050616000752 |
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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. Raul Antonio Perez 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 |
|---|
Raul Antonio Perez,
4760 Sepulveda Blvd,
Culver City, CA 90230-4820
Ph: (310) 390-6612 | Raul Antonio Perez,
323 N Prairie Ave,
Inglewood, CA 90301-4502
Ph: (310) 846-2100 |
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