Mr Paul Bracho, LCSW MFT is a medicare enrolled "Social Worker - Clinical" provider in Yorba Linda, California. His current practice location is
4300 Rose Dr, Yorba Linda, California. You can reach out to his office (for appointments etc.) via phone at
(714) 528-4211.
Mr Paul Bracho is licensed to practice in California (license number LCS15134) 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 1326185018.
Healthcare Provider's Profile
| Full Name | Mr Paul Bracho |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4300 Rose Dr, Yorba Linda, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1326185018
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 09/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365470796
- Enrollment ID: I20050727001107
Medical Identifiers
Medical identifiers for Mr Paul Bracho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326185018 | NPI | - | NPPES |
| ZZZ244865Z | Other | CA | BLUE SHIELD PROVIDER ID |
| LCS15134 | Other | CA | SOC WORKER STATE LICENSE |
| MFC25349 | Other | CA | LIC. MARIAGE & FAMILY THE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | MCF25349 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCS15134 (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 Paul Bracho allows following entities to bill medicare on his behalf.
| Entity Name | Providence Medical Foundation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
|---|
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 Paul Bracho 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 Paul Bracho, LCSW MFT
4300 Rose Dr,
Yorba Linda, CA 92886-2026
Ph: (714) 528-4211 | Mr Paul Bracho, LCSW MFT
4300 Rose Dr,
Yorba Linda, CA 92886-2026
Ph: (714) 528-4211 |
Reviews and Comments