Jeffrey Capps, is a medicare enrolled "Social Worker - Clinical" provider in South Pasadena, California. His current practice location is
625 Fair Oaks Ave Ste 300, South Pasadena, California. You can reach out to his office (for appointments etc.) via phone at
(626) 441-4221.
Jeffrey Capps is licensed to practice in California (license number 114846) 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 1043665722.
Healthcare Provider's Profile
Full Name | Jeffrey Capps |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 625 Fair Oaks Ave Ste 300, South Pasadena, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043665722
- Provider Enumeration Date: 04/29/2016
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496118184
- Enrollment ID: I20230829000886
Medical Identifiers
Medical identifiers for Jeffrey Capps such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043665722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 114846 (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. Jeffrey Capps allows following entities to bill medicare on his behalf.
Entity Name | Pacific Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926 |
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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. Jeffrey Capps 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 |
Jeffrey Capps, 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 Ph: (626) 441-4221 | Jeffrey Capps, 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030-5805 Ph: (626) 441-4221 |
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