Mr Paul Gaines Jr, MSW, LICSW, MED in Riverside, RI

Mr Paul Gaines Jr, MSW, LICSW, MED is a medicare enrolled "Social Worker - Clinical" provider in Riverside, Rhode Island. His current practice location is 100 Bullocks Point Ave, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 437-1000.

Mr Paul Gaines Jr is licensed to practice in Rhode Island (license number ISW02768) 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
	100 Bullocks Point Ave, Riverside, RI 02915-5351
	(401) 437-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Gaines Jr
Gender	Male
Speciality	Social Worker - Clinical
Location	100 Bullocks Point Ave, Riverside, Rhode Island
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: 02/07/2018

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

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW02768 (Rhode Island)	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

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 100 Bullocks Point Ave, Riverside, RI 02915-5351 Ph: (401) 437-1000	Mr Paul Gaines Jr, MSW, LICSW, MED 100 Bullocks Point Ave, Riverside, RI 02915-5351 Ph: (401) 437-1000

Reviews and Comments

Social Worker in Riverside, RI

Mollie Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Mrs. Catherine Lynn Brown, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 Wampanoag Trl, Riverside, RI 02915 Phone: 401-431-9870 Fax: 401-435-7486
Samantha Rose Kavanagh, Licsw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Wampanoag Trl Unit 400, Riverside, RI 02915 Phone: 401-785-0040
Lilliane Joan Murgo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000
Jennifer W. Jencks, PH.D. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Ms. Kendra O Macamaux, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 401-432-1000 Fax: 401-432-1500
Mica Hinga, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915 Phone: 185-554-3546

Mr Paul Gaines Jr, MSW, LICSW, MED - Medicare Clinical Social Worker in Riverside, RI