Jonathan Ryan Bethel, LCSW # 107684 in Costa Mesa, CA

Jonathan Ryan Bethel, LCSW # 107684 is a medicare enrolled "Social Worker - Clinical" provider in Costa Mesa, California. His current practice location is 301 Victoria St, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (949) 642-2734.

Jonathan Ryan Bethel is licensed to practice in California (license number 107684) 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 1962087114.

Contact Information

	Jonathan Ryan Bethel, LCSW # 107684
	301 Victoria St, Costa Mesa, CA 92627-7131
	(949) 642-2734
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Ryan Bethel
Gender	Male
Speciality	Social Worker - Clinical
Location	301 Victoria St, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962087114
Provider Enumeration Date: 03/09/2021
Last Update Date: 06/06/2022

Medicare PECOS Information:

PECOS PAC ID: 4385018209
Enrollment ID: I20230316000373

Medical Identifiers

Medical identifiers for Jonathan Ryan Bethel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962087114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107684 (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. Jonathan Ryan Bethel allows following entities to bill medicare on his behalf.

Entity Name	Fusion Care Group A Psychological Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932

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. Jonathan Ryan Bethel 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
Jonathan Ryan Bethel, LCSW # 107684 301 Victoria St, Costa Mesa, CA 92627-1995 Ph: (949) 642-2734	Jonathan Ryan Bethel, LCSW # 107684 301 Victoria St, Costa Mesa, CA 92627-7131 Ph: (949) 642-2734

Reviews and Comments

Social Worker in Costa Mesa, CA

Joseph Madrid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 252 16th Pl Apt C, Costa Mesa, CA 92627 Phone: 949-566-5222
Shelley Beckham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 271 Mesa Dr, Costa Mesa, CA 92627 Phone: 949-422-1882 Fax: 949-548-2303
Brian Jacobo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734
Jeremy Quang Le, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 301 Victoria St, Costa Mesa, CA 92627 Phone: 949-642-2734
Lizeth Dimas Sebastian, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2801 Bristol St, Costa Mesa, CA 92626 Phone: 714-850-8408
Kelleen Carrie Stainer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Anton Blvd Ste 150, Costa Mesa, CA 92626 Phone: 949-204-0011
Grace Tsai, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 940 S Coast Dr Ste 260, Costa Mesa, CA 92626 Phone: 714-907-2318

Jonathan Ryan Bethel, LCSW # 107684 - Medicare Clinical Social Worker in Costa Mesa, CA