Channing Gredvig, LCSW - Medicare Clinical Social Worker in San Diego, CA

Channing Gredvig, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Diego, California. His current practice location is 3420 Kenyon St, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 221-6550.

Channing Gredvig is licensed to practice in California (license number 64651) 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 1003113622.

Contact Information

Channing Gredvig, LCSW
3420 Kenyon St,
San Diego, CA 92110-5001
(619) 221-6550
(619) 221-6556



Healthcare Provider's Profile

Full NameChanning Gredvig
GenderMale
SpecialitySocial Worker - Clinical
Location3420 Kenyon St, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003113622
  • Provider Enumeration Date: 02/16/2011
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446566137
  • Enrollment ID: I20150825005695

Medical Identifiers

Medical identifiers for Channing Gredvig such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003113622NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 64651 (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. Channing Gredvig allows following entities to bill medicare on his behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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› Verified 6 days ago

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. Channing Gredvig 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 AddressPractice Location Address
Channing Gredvig, LCSW
3420 Kenyon St,
San Diego, CA 92110-5001

Ph: (619) 221-6550
Channing Gredvig, LCSW
3420 Kenyon St,
San Diego, CA 92110-5001

Ph: (619) 221-6550

News Archive

OncoGenex completes enrollment in OGX-427 Phase 2 trial for treatment of metastatic bladder cancer

OncoGenex Pharmaceuticals, Inc. today announced that enrollment has been completed in Borealis-1, a company-sponsored, randomized, placebo-controlled Phase 2 trial of OGX-427 in combination with first-line gemcitabine and cisplatin in patients with metastatic bladder cancer.

Health law's medical-loss ratio and birth control coverage requirements kick in today

Aug. 1 marks the deadline for insurers to refund consumers and employers if they didn't spend at least 80 percent of premiums on health care. Another provision takes effect requiring most employers to include contraceptive and other women's health services without copays in the insurance plans they offer workers.

Long-term heavy alcohol drinking habits may prematurely age arteries, study finds

Heavy alcohol drinking habits over the years may prematurely age arteries, especially in men, putting them at an increased risk for heart disease, according to new research in Journal of the American Heart Association, the Open Access Journal of the American Heart Association/American Stroke Association.

Chinese SFDA approves China Medical Technologies' Leukemia BCR/ABL fusion gene detection FISH Probe

China Medical Technologies, Inc., a leading China-based medical device company that develops, manufactures and markets advanced in-vitro diagnostic products, today announced that the Company has received approval for its Leukemia BCR/ABL fusion gene detection FISH Probe (the "Leukemia BCR/ABL FISH Probe") from the State Food and Drug Administration of China (the "SFDA").

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› Verified 6 days ago


Social Worker in San Diego, CA

Ms. Sonya None Starr, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4660 Palm Ave, San Diego, CA 92154
Phone: 619-662-5000    
Evelina Jaime, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 286 Euclid Ave, Suite 102, San Diego, CA 92114
Phone: 619-266-2111    Fax: 619-266-0496
Miss Crystal Marie Chuk, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4406 Park Blvd, Suite B, San Diego, CA 92116
Phone: 619-339-3644    
Mr. Javier Perez, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2305 Meade Ave, 3, San Diego, CA 92116
Phone: 619-787-2534    
Mr. Jonathan R Boland, LCSW, BCD, MPH
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: Naval Consolidated Brig Miramar, 46141 Miramar Way, San Diego, CA 92126
Phone: 619-846-3381    
Leah Bogopulsky, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3020 Childrens Way # 5100, San Diego, CA 92123
Phone: 858-966-1700    

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