Mr Michael Charles Christian Kessler, is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. His current practice location is
490 Mendocino Ave, Suite 202, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at
(707) 494-2974.
Mr Michael Charles Christian Kessler is licensed to practice in California (license number LCSW73368) 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 1790985042.
Healthcare Provider's Profile
| Full Name | Mr Michael Charles Christian Kessler |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 490 Mendocino Ave, Santa Rosa, California |
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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: 1790985042
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 05/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911244348
- Enrollment ID: I20190123003242
Medical Identifiers
Medical identifiers for Mr Michael Charles Christian Kessler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790985042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | ASW24005 (California) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW 62549 (California) | Secondary |
| 104100000X | Social Worker | ASW 62549 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW73368 (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. Mr Michael Charles Christian Kessler allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Michael Charles Christian Kessler 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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Mr Michael Charles Christian Kessler,
2227 Capricorn Way Ste 207,
Santa Rosa, CA 95407-5486
Ph: (707) 565-5006 | Mr Michael Charles Christian Kessler,
490 Mendocino Ave, Suite 202,
Santa Rosa, CA 95401-8530
Ph: (707) 494-2974 |
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