Eric Chamberlain Jr, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. His current practice location is
8701 Country Pines Ave, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 375-6749.
Eric Chamberlain Jr is licensed to practice in Nevada (license number 11110-C) 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 1518631092.
Healthcare Provider's Profile
| Full Name | Eric Chamberlain Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 8701 Country Pines Ave, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518631092
- Provider Enumeration Date: 08/06/2021
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436556032
- Enrollment ID: I20210924000461
Medical Identifiers
Medical identifiers for Eric Chamberlain Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518631092 | NPI | - | NPPES |
| LCADC | Other | NV | 07766-LC |
| LCSW | Other | NV | 11110-C |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 07766-LC (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11110-C (Nevada) | 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. Eric Chamberlain Jr allows following entities to bill medicare on his behalf.
| Entity Name | State Of Nevada |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760572010
PECOS PAC ID: 9234022153
Enrollment ID: O20040212000160 |
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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. Eric Chamberlain 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 |
|---|
Eric Chamberlain Jr, LCSW, LCADC
8701 Country Pines Ave,
Las Vegas, NV 89129-7637
Ph: (702) 375-6749 | Eric Chamberlain Jr, LCSW, LCADC
8701 Country Pines Ave,
Las Vegas, NV 89129-7637
Ph: (702) 375-6749 |
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