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

Mr Paul Gaines Jr, MSW, LICSW, MED is a medicare enrolled "Social Worker - Clinical" provider in Fairbanks, Alaska. His current practice location is Po Box 74915, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (401) 855-4776.

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
	Po Box 74915, Fairbanks, AK 99707-4915
	(401) 855-4776
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Gaines Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	Po Box 74915, Fairbanks, 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: 02/24/2025

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
103417	Other	AK	LCSW
121658	Other	MA	LICSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW121658 (Massachusetts)	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 315 Barnette St Unit 74915, Fairbanks, AK 99707-1157 Ph: (401) 855-4776	Mr Paul Gaines Jr, MSW, LICSW, MED Po Box 74915, Fairbanks, AK 99707-4915 Ph: (401) 855-4776

Reviews and Comments

Social Worker in Fairbanks, AK

Luvenia Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1449 Gillam Way, Fairbanks, AK 99701 Phone: 907-385-7298
Sheila Diane Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 23rd Ave, Fairbanks, AK 99701 Phone: 907-455-4567 Fax: 907-458-1590
Ms. Jessica Amy Goff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 1st Ave Ste 400, Fairbanks, AK 99701 Phone: 907-452-8251 Fax: 907-459-3810
Ms. Deborah Lynn Allman-reynolds, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1420 Bangs Way, Fairbanks, AK 99709 Phone: 907-978-4095 Fax: 000-000-0000
Mrs. Savannah Bush, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1423 Peger Rd, Fairbanks, AK 99709 Phone: 907-371-1300
Ms. Siobhan Lynch, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Wendell Ave, Fairbanks, AK 99701 Phone: 907-452-6251 Fax: 907-452-1001
Mr. Dennis Edward Hojna, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 Cushman Street, Suite 5, Fairbanks, AK 99701 Phone: 907-712-7485

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