Adrian Idris Evans, in San Diego, CA - Medicare Social Worker Provider

Adrian Idris Evans, is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. His current practice location is 34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 532-7150.

Adrian Idris Evans is licensed to practice in Virginia (license number 0904007447) 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 1134567977.

Contact Information

	Adrian Idris Evans,
	34800 Bob Wilson Dr, San Diego, CA 92134-1208
	(619) 532-7150
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adrian Idris Evans
Gender	Male
Speciality	Social Worker - Clinical
Location	34800 Bob Wilson Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134567977
Provider Enumeration Date: 06/13/2013
Last Update Date: 06/13/2013

Medicare PECOS Information:

PECOS PAC ID: 5597138321
Enrollment ID: I20230227001035

Medical Identifiers

Medical identifiers for Adrian Idris Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134567977	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904007447 (Virginia)	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. Adrian Idris Evans allows following entities to bill medicare on his behalf.

Entity Name	Mind Meld Psychotherapy Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114599958 PECOS PAC ID: 8426454802 Enrollment ID: O20210909003773

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. Adrian Idris Evans 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
Adrian Idris Evans, 34800 Bob Wilson Dr, San Diego, CA 92134-1208 Ph: () -	Adrian Idris Evans, 34800 Bob Wilson Dr, San Diego, CA 92134-1208 Ph: (619) 532-7150

Reviews and Comments

Social Worker in San Diego, CA

Ms. Sonya None Starr, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4660 Palm Ave, San Diego, CA 92154 Phone: 619-662-5000
Evelina Jaime, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114 Phone: 619-266-2111 Fax: 619-266-0496
Channing Gredvig, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3420 Kenyon St, San Diego, CA 92110 Phone: 619-221-6550 Fax: 619-221-6556
Miss Crystal Marie Chuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4406 Park Blvd, Suite B, San Diego, CA 92116 Phone: 619-339-3644
Mr. Javier Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116 Phone: 619-787-2534
Mr. Jonathan R Boland, LCSW, BCD, MPH Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Naval Consolidated Brig Miramar, 46141 Miramar Way, San Diego, CA 92126 Phone: 619-846-3381
Leah Bogopulsky, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123 Phone: 858-966-1700

Adrian Idris Evans, - Medicare Clinical Social Worker in San Diego, CA