Mr Douglas Alan Bates, LCSW, LISAC, ACHP-SW is a medicare enrolled "Social Worker - Clinical" provider in Chandler, Arizona. His current practice location is
3861 E Gleneagle Pl, Chandler, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 695-3460.
Mr Douglas Alan Bates is licensed to practice in Arizona (license number 16152) 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 1245726876.
Healthcare Provider's Profile
| Full Name | Mr Douglas Alan Bates |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3861 E Gleneagle Pl, Chandler, 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: 1245726876
- Provider Enumeration Date: 07/06/2018
- Last Update Date: 07/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4981957990
- Enrollment ID: I20250314000168
Medical Identifiers
Medical identifiers for Mr Douglas Alan Bates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245726876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11481 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | 28616 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 16152 (Arizona) | 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 Douglas Alan Bates allows following entities to bill medicare on his behalf.
| Entity Name | Guiding Star Mental Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518716414
PECOS PAC ID: 1850825720
Enrollment ID: O20241114002167 |
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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. Mr Douglas Alan Bates 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 Douglas Alan Bates, LCSW, LISAC, ACHP-SW
3861 E Gleneagle Pl,
Chandler, AZ 85249-9443
Ph: (623) 695-3460 | Mr Douglas Alan Bates, LCSW, LISAC, ACHP-SW
3861 E Gleneagle Pl,
Chandler, AZ 85249-9443
Ph: (623) 695-3460 |
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