Luci Belcher, is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. Her current practice location is
4406 E Gatewood Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 382-0322.
Luci Belcher is licensed to practice in California (license number 72976) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396093464.
Healthcare Provider's Profile
| Full Name | Luci Belcher |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4406 E Gatewood Rd, Phoenix, Arizona |
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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: 1396093464
- Provider Enumeration Date: 08/21/2012
- Last Update Date: 01/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062949415
- Enrollment ID: I20241223003395
Medical Identifiers
Medical identifiers for Luci Belcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396093464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 20137 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 72976 (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. Luci Belcher allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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| Entity Name | Mood Clinical, P. C. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922675644
PECOS PAC ID: 4981080769
Enrollment ID: O20220930002640 |
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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. Luci Belcher 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 |
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Luci Belcher,
10717 Camino Ruiz, Suite 207,
San Diego, CA 92126-2360
Ph: () - | Luci Belcher,
4406 E Gatewood Rd,
Phoenix, AZ 85050-6937
Ph: (480) 382-0322 |
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