Mr Edgar A Hernandez, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Seattle, Washington. His current practice location is
5425 Rainier Ave S Ste A, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 245-3756.
Mr Edgar A Hernandez is licensed to practice in Washington (license number LW00009717) 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 1760589766.
Healthcare Provider's Profile
Full Name | Mr Edgar A Hernandez |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5425 Rainier Ave S Ste A, Seattle, Washington |
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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: 1760589766
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 02/27/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062751274
- Enrollment ID: I20190318000631
Medical Identifiers
Medical identifiers for Mr Edgar A Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760589766 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | RC00049588 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW00009717 (Washington) | 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 Edgar A Hernandez allows following entities to bill medicare on his behalf.
Entity Name | Azul Care, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407371966 PECOS PAC ID: 6800135005 Enrollment ID: O20241015003552 |
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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 Edgar A Hernandez 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 Edgar A Hernandez, LICSW 5425 Rainier Ave S Ste A, Seattle, WA 98118-2455 Ph: (206) 309-5096 | Mr Edgar A Hernandez, LICSW 5425 Rainier Ave S Ste A, Seattle, WA 98118-2455 Ph: (206) 245-3756 |
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