Mr Christopher Charles Reardon, CADC, LADC II is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Wilmington, California. His current practice location is
1318 N Avalon Blvd, Wilmington, California. You can reach out to his office (for appointments etc.) via phone at
(310) 549-2710.
Mr Christopher Charles Reardon is licensed to practice in California (license number RA8550317) 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 1578946760.
Healthcare Provider's Profile
| Full Name | Mr Christopher Charles Reardon |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 1318 N Avalon Blvd, Wilmington, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578946760
- Provider Enumeration Date: 07/07/2015
- Last Update Date: 06/21/2017
Medicare PECOS Information:
- PECOS PAC ID: 3870980899
- Enrollment ID: I20220421001860
Medical Identifiers
Medical identifiers for Mr Christopher Charles Reardon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578946760 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | RA8550317 (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. Mr Christopher Charles Reardon allows following entities to bill medicare on his behalf.
| Entity Name | The Commonwealth Of Massachusetts |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568587913 PECOS PAC ID: 8820906860 Enrollment ID: O20040527000489 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
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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. Mr Christopher Charles Reardon 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 |
Mr Christopher Charles Reardon, CADC, LADC II 1318 N Avalon Blvd, Wilmington, CA 90744-2639 Ph: (310) 549-2710 | Mr Christopher Charles Reardon, CADC, LADC II 1318 N Avalon Blvd, Wilmington, CA 90744-2639 Ph: (310) 549-2710 |
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