Mr Jose Eduardo Crego, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Waterbury, Connecticut. His current practice location is
969 W Main St Ste 1d, Waterbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 768-9808.
Mr Jose Eduardo Crego is licensed to practice in Connecticut (license number 009093) 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 1245594159.
Healthcare Provider's Profile
| Full Name | Mr Jose Eduardo Crego |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 969 W Main St Ste 1d, Waterbury, Connecticut |
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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: 1245594159
- Provider Enumeration Date: 06/26/2012
- Last Update Date: 07/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 4880902394
- Enrollment ID: I20151002001649
Medical Identifiers
Medical identifiers for Mr Jose Eduardo Crego such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245594159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 995 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 009093 (Connecticut) | 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 Jose Eduardo Crego allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
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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 Jose Eduardo Crego 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 Jose Eduardo Crego, LCSW, LADC 969 West Main Street Suite 1d, Waterbury, CT 06708 Ph: (203) 768-9808 | Mr Jose Eduardo Crego, LCSW, LADC 969 W Main St Ste 1d, Waterbury, CT 06708-2667 Ph: (203) 768-9808 |
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