Jose Gerardo Pacheco, LICSW, MSW in Boise, ID - Medicare Social Worker Provider

Jose Gerardo Pacheco, LICSW, MSW is a medicare enrolled "Social Worker - Clinical" provider in Boise, Idaho. His current practice location is 4750 N Five Mile Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 996-0931.

Jose Gerardo Pacheco is licensed to practice in Idaho (license number 5761478) 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 1073088779.

Contact Information

	Jose Gerardo Pacheco, LICSW, MSW
	4750 N Five Mile Rd, Boise, ID 83713-2715
	(208) 996-0931
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jose Gerardo Pacheco
Gender	Male
Speciality	Social Worker - Clinical
Location	4750 N Five Mile Rd, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073088779
Provider Enumeration Date: 10/09/2018
Last Update Date: 03/19/2025

Medicare PECOS Information:

PECOS PAC ID: 0042673659
Enrollment ID: I20230830001523

Medical Identifiers

Medical identifiers for Jose Gerardo Pacheco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073088779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	5761478 (Idaho)	Primary
104100000X	Social Worker	LW61310284 (Washington)	Secondary

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. Jose Gerardo Pacheco allows following entities to bill medicare on his behalf.

Entity Name	Lewis County Community Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899

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. Jose Gerardo Pacheco 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
Jose Gerardo Pacheco, LICSW, MSW 4750 N Five Mile Rd, Boise, ID 83713-2715 Ph: (208) 614-9448	Jose Gerardo Pacheco, LICSW, MSW 4750 N Five Mile Rd, Boise, ID 83713-2715 Ph: (208) 996-0931

Reviews and Comments

Social Worker in Boise, ID

Mr. Johnny Josiah Meehan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6855 W Fairview Ave, Boise, ID 83704 Phone: 208-323-9600 Fax: 208-323-9606
Kristie Kaes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121 Fax: 208-367-7305
John Bradford Hunt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 N 9th St Ste 201c, Boise, ID 83702 Phone: 208-549-9597
Dr. Paula K Barrett, PSYD, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 444 W Fort St Fl 2, Boise, ID 83702 Phone: 208-422-1018
Rachel Jessen, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5985 W State St, Boise, ID 83703 Phone: 208-853-0071 Fax: 208-853-9422
Mr. Tom C Ahlrichs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 777 N Raymond St, Boise, ID 83704 Phone: 208-367-6044 Fax: 208-375-8817
Mrs. Amy Niblock Balzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1720 N Westgate Dr, Suite A-1, Boise, ID 83704 Phone: 208-334-0874 Fax: 208-334-0812

Jose Gerardo Pacheco, LICSW, MSW - Medicare Clinical Social Worker in Boise, ID