Mr George Allan Fogle, LCSW, CCM in Modesto, CA - Medicare Social Worker Provider

Mr George Allan Fogle, LCSW, CCM is a medicare enrolled "Social Worker - Clinical" provider in Modesto, California. His current practice location is 4601 Dale Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 735-5000.

Mr George Allan Fogle is licensed to practice in California (license number LCS 19284) 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 1346402245.

Contact Information

	Mr George Allan Fogle, LCSW, CCM
	4601 Dale Rd, Modesto, CA 95356-9718
	(209) 735-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr George Allan Fogle
Gender	Male
Speciality	Social Worker - Clinical
Location	4601 Dale Rd, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346402245
Provider Enumeration Date: 07/01/2008
Last Update Date: 07/01/2008

Medicare PECOS Information:

PECOS PAC ID: 3870949621
Enrollment ID: I20231031000087

Medical Identifiers

Medical identifiers for Mr George Allan Fogle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346402245	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS 19284 (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 George Allan Fogle allows following entities to bill medicare on his behalf.

Entity Name	Asian Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841331402 PECOS PAC ID: 0244271021 Enrollment ID: O20050523000209

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 George Allan Fogle 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 George Allan Fogle, LCSW, CCM 5669 Gold Creek Dr, Castro Valley, CA 94552-5443 Ph: (510) 502-9215	Mr George Allan Fogle, LCSW, CCM 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000

Reviews and Comments

Social Worker in Modesto, CA

Leticia Gomez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1604 Ford Ave Ste 9, Modesto, CA 95350 Phone: 209-353-2522
Mr. William Leon Boddie Ii, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1524 Mchenry Ave, Suite # 450, Modesto, CA 95350 Phone: 209-557-6217 Fax: 209-557-9032
Diana Faith Kigenyi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1225 Oakdale Road, Modesto, CA 95355 Phone: 209-557-6200
Ms. Shamerin Bourang, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1225 Oakdale Rd, Modesto, CA 95355 Phone: 209-557-6213
Mrs. Maria Edith Martinez, MSW,ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste I, Modesto, CA 95350 Phone: 209-526-1476
Paul Samuel Crenshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 726 14th St Ste A, Modesto, CA 95354 Phone: 209-614-1440
Vanessa Alexandra Sandoval, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350 Phone: 209-526-1476

Mr George Allan Fogle, LCSW, CCM - Medicare Clinical Social Worker in Modesto, CA