Mr Paul Gaines Jr, MSW, LICSW, MED - Medicare Clinical Social Worker in Riverside, RI

Mr Paul Gaines Jr, MSW, LICSW, MED is a medicare enrolled "Social Worker - Clinical" provider in Riverside, Rhode Island. His current practice location is 100 Bullocks Point Ave, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 437-1000.

Mr Paul Gaines Jr is licensed to practice in Rhode Island (license number ISW02768) 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 1235575762.

Contact Information

Mr Paul Gaines Jr, MSW, LICSW, MED
100 Bullocks Point Ave,
Riverside, RI 02915-5351
(401) 437-1000
Not Available



Healthcare Provider's Profile

Full NameMr Paul Gaines Jr
GenderMale
SpecialitySocial Worker - Clinical
Location100 Bullocks Point Ave, Riverside, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235575762
  • Provider Enumeration Date: 05/10/2013
  • Last Update Date: 02/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4183986268
  • Enrollment ID: I20210115001493

Medical Identifiers

Medical identifiers for Mr Paul Gaines Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235575762NPI-NPPES
ISW02768OtherRILICSW
103417OtherAKLCSW

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ISW02768 (Rhode Island)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 Paul Gaines Jr allows following entities to bill medicare on his behalf.
Entity NameInterior Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609942754
PECOS PAC ID: 9830001031
Enrollment ID: O20031105000421

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Entity NameFairbanks Community Mental Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023445871
PECOS PAC ID: 6406085562
Enrollment ID: O20140212001626

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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 Paul Gaines Jr 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
Mr Paul Gaines Jr, MSW, LICSW, MED
100 Bullocks Point Ave,
Riverside, RI 02915-5351

Ph: (401) 437-1000
Mr Paul Gaines Jr, MSW, LICSW, MED
100 Bullocks Point Ave,
Riverside, RI 02915-5351

Ph: (401) 437-1000

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Social Worker in Riverside, RI

Mollie Burns, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    
Mrs. Catherine Lynn Brown, MSW, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 610 Wampanoag Trl, Riverside, RI 02915
Phone: 401-431-9870    Fax: 401-435-7486
Samantha Rose Kavanagh, Licsw,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 501 Wampanoag Trl Unit 400, Riverside, RI 02915
Phone: 401-785-0040    
Lilliane Joan Murgo, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    
Jennifer W. Jencks, PH.D.
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    Fax: 401-432-1500
Ms. Kendra O Macamaux, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 401-432-1000    Fax: 401-432-1500
Mica Hinga, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1011 Veterans Memorial Pkwy, Riverside, RI 02915
Phone: 185-554-3546    

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