Brian Mullervy, is a medicare enrolled "Counselor" provider in Pawtucket, Rhode Island. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Gateway Healthcare Inc and his current practice location is
101 Bacon St, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 724-8400.
Brian Mullervy is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467875633.
Healthcare Provider's Profile
| Full Name | Brian Mullervy |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 101 Bacon St, Pawtucket, Rhode Island |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian Mullervy graduated from medical school in 2013
NPI Data:
- NPI Number: 1467875633
- Provider Enumeration Date: 01/24/2014
- Last Update Date: 01/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911248604
- Enrollment ID: I20190405001551
Medical Identifiers
Medical identifiers for Brian Mullervy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467875633 | NPI | - | NPPES |
| GH57134 | Medicaid | RI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | CSW02074 (Rhode Island) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gateway Healthcare Inc | 7719874908 | 29 |
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. Brian Mullervy allows following entities to bill medicare on his behalf.
| Entity Name | Gateway Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821078932
PECOS PAC ID: 7719874908
Enrollment ID: O20040302001066 |
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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. Brian Mullervy 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 |
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Brian Mullervy,
101 Bacon St,
Pawtucket, RI 02860-5542
Ph: (401) 724-8400 | Brian Mullervy,
101 Bacon St,
Pawtucket, RI 02860-5542
Ph: (401) 724-8400 |
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