Chad Calkins, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Ogden, Utah. His current practice location is
502 E 22nd St, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at
(385) 299-8481.
Chad Calkins is licensed to practice in Utah (license number 367894-3501) 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 1629376496.
Healthcare Provider's Profile
| Full Name | Chad Calkins |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 502 E 22nd St, Ogden, Utah |
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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: 1629376496
- Provider Enumeration Date: 03/03/2011
- Last Update Date: 08/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941580278
- Enrollment ID: I20161202001589
Medical Identifiers
Medical identifiers for Chad Calkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629376496 | NPI | - | NPPES |
| 82-5159778 | Other | | IRS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 367894-3501 (Utah) | 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. Chad Calkins allows following entities to bill medicare on his behalf.
| Entity Name | Lucid Lane Providers Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912507021
PECOS PAC ID: 2163839382
Enrollment ID: O20220421001368 |
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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. Chad Calkins 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 |
|---|
Chad Calkins, LCSW
502 E 22nd St,
Ogden, UT 84401-1519
Ph: (385) 299-8481 | Chad Calkins, LCSW
502 E 22nd St,
Ogden, UT 84401
Ph: (385) 299-8481 |
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