Dominique Davi Juarez, LCSW-39611 in Caldwell, ID - Medicare Social Worker Provider

Dominique Davi Juarez, LCSW-39611 is a medicare enrolled "Social Worker - Clinical" provider in Caldwell, Idaho. His current practice location is 314 Badiola St, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 454-8389.

Dominique Davi Juarez is licensed to practice in Idaho (license number LCSW-39611) 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 1871965533.

Contact Information

	Dominique Davi Juarez, LCSW-39611
	314 Badiola St, Caldwell, ID 83605-4389
	(208) 454-8389
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dominique Davi Juarez
Gender	Male
Speciality	Social Worker - Clinical
Location	314 Badiola St, Caldwell, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871965533
Provider Enumeration Date: 10/21/2015
Last Update Date: 07/07/2020

Medicare PECOS Information:

PECOS PAC ID: 7315378676
Enrollment ID: I20200520003549

Medical Identifiers

Medical identifiers for Dominique Davi Juarez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871965533	NPI	-	NPPES
LCSW39611	Other	ID	.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-39611 (Idaho)	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. Dominique Davi Juarez allows following entities to bill medicare on his behalf.

Entity Name	Human Supports Of Idaho
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922340124 PECOS PAC ID: 0244485894 Enrollment ID: O20130305000118

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. Dominique Davi Juarez 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
Dominique Davi Juarez, LCSW-39611 515 E Heritage Park St, Meridian, ID 83646-6293 Ph: (208) 371-8420	Dominique Davi Juarez, LCSW-39611 314 Badiola St, Caldwell, ID 83605-4389 Ph: (208) 454-8389

Reviews and Comments

Social Worker in Caldwell, ID

Mary Kay Gordon-brunner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 314 Badiola St, Caldwell, ID 83605 Phone: 702-589-4871
Mrs. Kristina Marie Pugh, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13802 Quintessa St, Caldwell, ID 83607 Phone: 801-599-7123
Tara Byrne, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3402 Franklin Rd, Caldwell, ID 83605 Phone: 208-608-8839
Mrs. Amanda Kay Goldston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3402 Franklin Rd, Caldwell, ID 83605 Phone: 208-455-7045 Fax: 208-454-7714
Judy Ann Hudson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23057 Old Highway 30, Caldwell, ID 83607 Phone: 208-860-2345 Fax: 208-459-6921
Ms. Asha Sharp, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3402 Franklin Rd, Caldwell, ID 83605 Phone: 208-455-7033 Fax: 208-454-7714
Jason Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2609 S 10th Ave Ste 102, Caldwell, ID 83605 Phone: 208-454-2766

Dominique Davi Juarez, LCSW-39611 - Medicare Clinical Social Worker in Caldwell, ID