Caleb Mauti Reid, DNP, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in San Bernardino, California. His current practice location is
350 Commercial Rd Ste 11, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at
(909) 913-0674.
Caleb Mauti Reid is licensed to practice in Arizona (license number PMHNP) 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 1053759217.
Physician's Profile
Full Name | Caleb Mauti Reid |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 350 Commercial Rd Ste 11, San Bernardino, California |
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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: 1053759217
- Provider Enumeration Date: 06/10/2013
- Last Update Date: 03/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810364437
- Enrollment ID: I20230411002788
Medical Identifiers
Medical identifiers for Caleb Mauti Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053759217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 279741 (Arizona) | Secondary |
163WC0200X | Registered Nurse - Critical Care Medicine | 726417 (California) | Secondary |
163WC0400X | Registered Nurse - Case Management | 726417 (California) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | 726417 (California) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 279741 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95023143 (California) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 279741 (Arizona) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | PMHNP (Arizona) | Primary |
163W00000X | Registered Nurse | 726417 (California) | Secondary |
163WA2000X | Registered Nurse - Administrator | 726417 (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. Caleb Mauti Reid allows following entities to bill medicare on his behalf.
Entity Name | Anza Wellness & Recovery Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962128249 PECOS PAC ID: 2860866274 Enrollment ID: O20230327002315 |
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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. Caleb Mauti Reid 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 |
Caleb Mauti Reid, DNP, MSN, PMHNP-BC 412 E Southern Ave, Tempe, AZ 85282-5212 Ph: (651) 800-5991 | Caleb Mauti Reid, DNP, MSN, PMHNP-BC 350 Commercial Rd Ste 11, San Bernardino, CA 92408-3763 Ph: (909) 913-0674 |
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