Carmen Phillip Masullo, LCSW in Wake Forest, NC - Medicare Social Worker Provider

Carmen Phillip Masullo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wake Forest, North Carolina. His current practice location is 1331 Wait Ave, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 556-5407.

Carmen Phillip Masullo is licensed to practice in North Carolina (license number C003315) 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 1639229511.

Contact Information

	Carmen Phillip Masullo, LCSW
	1331 Wait Ave, Wake Forest, NC 27587-6985
	(919) 556-5407
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carmen Phillip Masullo
Gender	Male
Speciality	Social Worker - Clinical
Location	1331 Wait Ave, Wake Forest, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639229511
Provider Enumeration Date: 01/11/2007
Last Update Date: 10/07/2013

Medicare PECOS Information:

PECOS PAC ID: 2961502521
Enrollment ID: I20070711000595

Medical Identifiers

Medical identifiers for Carmen Phillip Masullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639229511	NPI	-	NPPES
6003657	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C003315 (North Carolina)	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. Carmen Phillip Masullo allows following entities to bill medicare on his behalf.

Entity Name	Fidelity Community Support Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205132412 PECOS PAC ID: 1355595182 Enrollment ID: O20130204000164

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. Carmen Phillip Masullo 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
Carmen Phillip Masullo, LCSW 1331 Wait Avenue, Wake Forest, NC 27587-6985 Ph: (919) 556-5407	Carmen Phillip Masullo, LCSW 1331 Wait Ave, Wake Forest, NC 27587-6985 Ph: (919) 556-5407

Reviews and Comments

Social Worker in Wake Forest, NC

Tracee Gregory, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587 Phone: 919-554-1231 Fax: 919-554-2406
Carolina Ramirez, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3745 Willow Stone Ln, Wake Forest, NC 27587 Phone: 646-244-1629
Minnie Simmons Vickers, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Wake Forest, NC 27587 Phone: 919-521-0665
Mrs. Angela Karen Bridges, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7304 Mithrasdowne Ct, Wake Forest, NC 27587 Phone: 919-671-3317 Fax: 919-761-1244
Ms. Michelle Kathlyn Bates, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Capcom Ave Ste 101, Wake Forest, NC 27587 Phone: 919-792-3967 Fax: 919-761-5026
Hilary Leath Norris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1613 Forest Rd, Wake Forest, NC 27587 Phone: 919-608-4096
Kimberly L Konderla, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10580 Ligon Mill Rd, Wake Forest, NC 27587 Phone: 919-263-9592

Carmen Phillip Masullo, LCSW - Medicare Clinical Social Worker in Wake Forest, NC