Mr Rafael Antonio Chavez, is a medicare enrolled "Social Worker" provider in Compton, California. His current practice location is
1180 W Mahalo Pl Unit B, Compton, California. You can reach out to his office (for appointments etc.) via phone at
(310) 868-5379.
Mr Rafael Antonio Chavez is licensed to practice in California (license number LCSW101637) 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 1548591738.
Healthcare Provider's Profile
| Full Name | Mr Rafael Antonio Chavez |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 1180 W Mahalo Pl Unit B, Compton, 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: 1548591738
- Provider Enumeration Date: 01/27/2010
- Last Update Date: 06/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 9436508769
- Enrollment ID: I20231212003797
Medical Identifiers
Medical identifiers for Mr Rafael Antonio Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548591738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 68448 (California) | Secondary |
| 104100000X | Social Worker | LCSW101637 (California) | Primary |
| 104100000X | Social Worker | 68448 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 101637 (California) | Secondary |
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 Rafael Antonio Chavez allows following entities to bill medicare on his behalf.
| Entity Name | Level LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982378220
PECOS PAC ID: 0244634293
Enrollment ID: O20210812001950 |
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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 Rafael Antonio Chavez 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 Rafael Antonio Chavez,
1180 W Mahalo Pl Unit B,
Compton, CA 90220-5443
Ph: (310) 868-5379 | Mr Rafael Antonio Chavez,
1180 W Mahalo Pl Unit B,
Compton, CA 90220-5443
Ph: (310) 868-5379 |
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