Mr Paul Gaines Jr, MSW, LICSW, MED in Anchorage, AK

Mr Paul Gaines Jr, MSW, LICSW, MED is a medicare enrolled "Social Worker - Clinical" provider in Anchorage, Alaska. His current practice location is 4031 San Ernesto Ave Apt 4, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at (385) 309-3999.

Mr Paul Gaines Jr is licensed to practice in Alaska (license number 103417) 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 1235575762.

Contact Information

	Mr Paul Gaines Jr, MSW, LICSW, MED
	4031 San Ernesto Ave Apt 4, Anchorage, AK 99508-2829
	(385) 309-3999
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Gaines Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	4031 San Ernesto Ave Apt 4, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235575762
Provider Enumeration Date: 05/10/2013
Last Update Date: 06/09/2025

Medicare PECOS Information:

PECOS PAC ID: 4183986268
Enrollment ID: I20210115001493

Medical Identifiers

Medical identifiers for Mr Paul Gaines Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235575762	NPI	-	NPPES
ISW02768	Other	RI	LICSW
121658	Other	MA	LICSW
103417	Other	AK	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW121658 (Massachusetts)	Secondary
1041C0700X	Social Worker - Clinical	ISW02768 (Rhode Island)	Secondary
1041C0700X	Social Worker - Clinical	103417 (Alaska)	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 Paul Gaines Jr allows following entities to bill medicare on his behalf.

Entity Name	Interior Community Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609942754 PECOS PAC ID: 9830001031 Enrollment ID: O20031105000421

Entity Name	Fairbanks Community Mental Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023445871 PECOS PAC ID: 6406085562 Enrollment ID: O20140212001626

Entity Name	Thriveworks Clinical - Alaska Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295452845 PECOS PAC ID: 9234504655 Enrollment ID: O20230417000826

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 Paul Gaines Jr 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 Paul Gaines Jr, MSW, LICSW, MED 3721 B Street, Unit 240851, Anchorage, AK 99524-0851 Ph: (401) 855-4776	Mr Paul Gaines Jr, MSW, LICSW, MED 4031 San Ernesto Ave Apt 4, Anchorage, AK 99508-2829 Ph: (385) 309-3999

Reviews and Comments

Social Worker in Anchorage, AK

Shelley Lenee Reppel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3820 Lake Otis Pkwy, Suite 100, Anchorage, AK 99508 Phone: 907-569-6906 Fax: 907-569-6908
Ms. Constance Matthews Greco, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10250 Jamestown Dr Apt 15, Anchorage, AK 99507 Phone: 907-522-8170
Rowena Queja, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Foxhall Dr, Anchorage, AK 99504 Phone: 907-317-0727
Miss Porsche Hunter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 E 82nd Ave Ste 103, Anchorage, AK 99518 Phone: 907-215-8153
Anna M. Stafford, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4130 San Ernesto Ave, Anchorage, AK 99508 Phone: 907-729-5070
Joshua Aaron Goldstein, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 C St Ste 202, Anchorage, AK 99503 Phone: 907-729-8558
Megan Hultquist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Providence Dr, Suite B314, Anchorage, AK 99508 Phone: 907-212-3420 Fax: 907-212-3429

Mr Paul Gaines Jr, MSW, LICSW, MED - Medicare Clinical Social Worker in Anchorage, AK