Monique Gaines, is a medicare enrolled "Social Worker - Clinical" provider in Detroit, Michigan. Her current practice location is
4646 John R St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 576-1000.
Monique Gaines is licensed to practice in Michigan (license number 6801105135) 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 1720433097.
Healthcare Provider's Profile
| Full Name | Monique Gaines |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4646 John R St, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720433097
- Provider Enumeration Date: 04/25/2016
- Last Update Date: 11/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345651204
- Enrollment ID: I20201124003158
Medical Identifiers
Medical identifiers for Monique Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720433097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801105135 (Michigan) | 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. Monique Gaines allows following entities to bill medicare on her behalf.
| Entity Name | All Well-being Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679663546 PECOS PAC ID: 9133010176 Enrollment ID: O20040322000357 |
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| Entity Name | The Detroit Recovery Project |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760890263 PECOS PAC ID: 1850716226 Enrollment ID: O20200731002030 |
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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. Monique Gaines 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 |
Monique Gaines, Po Box 32907, Detroit, MI 48232-0907 Ph: () - | Monique Gaines, 4646 John R St, Detroit, MI 48201-1916 Ph: (313) 576-1000 |
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