Ryan Kim Tieu, ACSW is a medicare enrolled "Social Worker - Clinical" provider in Sacramento, California. His current practice location is
2020 29th St Ste 201, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at
(916) 455-2391.
Ryan Kim Tieu is licensed to practice in California (license number ASW90426) 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 1104216597.
Healthcare Provider's Profile
| Full Name | Ryan Kim Tieu |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2020 29th St Ste 201, Sacramento, 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: 1104216597
- Provider Enumeration Date: 01/23/2015
- Last Update Date: 08/02/2020
Medicare PECOS Information:
- PECOS PAC ID: 1850777012
- Enrollment ID: I20220926003307
Medical Identifiers
Medical identifiers for Ryan Kim Tieu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104216597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW90426 (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. Ryan Kim Tieu allows following entities to bill medicare on his behalf.
| Entity Name | Asian And Pacific Islander Wellness Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376798413
PECOS PAC ID: 0143522839
Enrollment ID: O20160427002274 |
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| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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. Ryan Kim Tieu 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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Ryan Kim Tieu, ACSW
3323 W St,
Sacramento, CA 95817-1228
Ph: () - | Ryan Kim Tieu, ACSW
2020 29th St Ste 201,
Sacramento, CA 95817-1119
Ph: (916) 455-2391 |
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