Jeremy Gau

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

6807 Cody St
Bonners Ferry, ID 83805-8613

Phone

(208) 267-0900

NPI assigned

Apr 21, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Rawlings Community CounselingGroup PAC ID 8820222086, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rawlings Community Counseling

  • Community/Behavioral Health Agency
  • Bonners Ferry, ID
  • NPI 1245528082
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1013304617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6807 CODY ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058613",
            "telephone_number": "208-267-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6807 CODY ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058613",
            "telephone_number": "208-267-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAU",
        "first_name": "JEREMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foster Holdings LTD (Well Life Boundary Pharmacy)
• Dana R Fox, HIS
• John Friesen, M.D.
• Angela Pearl Plaida Fusco, PHARMD
• Jennifer F Garwick, M.D.
• Taylor Geyman, DDS
• Troy W Geyman, M.D.
• Gina M. Beck, LCSW PLLC
• Kenton Bing-Hock Goh, MD
• Ryan James Gorman, DNP, NP-C

• Social Worker in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.