Regan R Eberhart, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Menasha, Wisconsin. He graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Thedacare, Incorporated and his current practice location is
1095 Midway Rd, Menasha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 720-2300.
Regan R Eberhart is licensed to practice in Wisconsin (license number 8795) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508911959.
Healthcare Provider's Profile
| Full Name | Regan R Eberhart |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Social Worker |
|---|
| Experience | 20 Years |
|---|
| Location | 1095 Midway Rd, Menasha, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Regan R Eberhart graduated from medical school in 2004
NPI Data:
- NPI Number: 1508911959
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 11/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 0244496461
- Enrollment ID: I20171205002561
Medical Identifiers
Medical identifiers for Regan R Eberhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508911959 | NPI | - | NPPES |
| 2017451 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | RC00056209 (Washington) | Secondary |
| 104100000X | Social Worker | LW60167698 (Washington) | Secondary |
| 104100000X | Social Worker | 8795 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60167698 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8795 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Thedacare, Incorporated | 1759294887 | 509 |
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. Regan R Eberhart allows following entities to bill medicare on his behalf.
| Entity Name | Thedacare, Incorporated |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
|---|
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. Regan R Eberhart 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 |
|---|
Regan R Eberhart, LCSW
1095 Midway Rd,
Menasha, WI 54952-1115
Ph: (920) 720-2300 | Regan R Eberhart, LCSW
1095 Midway Rd,
Menasha, WI 54952-1115
Ph: (920) 720-2300 |
Reviews and Comments