Connor Sullivan, LCSW in Brighton, MA - Medicare Social Worker Provider

Connor Sullivan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brighton, Massachusetts. His current practice location is 77 Warren St Bldg 2, Brighton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 783-7804.

Connor Sullivan is licensed to practice in Massachusetts (license number 973188) 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 1457097164.

Contact Information

	Connor Sullivan, LCSW
	77 Warren St Bldg 2, Brighton, MA 02135-3601
	(617) 783-7804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Connor Sullivan
Gender	Male
Speciality	Social Worker - Clinical
Location	77 Warren St Bldg 2, Brighton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457097164
Provider Enumeration Date: 05/06/2022
Last Update Date: 05/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5092178368
Enrollment ID: I20230905001016

Medical Identifiers

Medical identifiers for Connor Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457097164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	973188 (Massachusetts)	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. Connor Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Neuropsychological Assessment Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720421746 PECOS PAC ID: 2466735147 Enrollment ID: O20170202001692

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608

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. Connor Sullivan 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
Connor Sullivan, LCSW 77 Warren St Bldg 2, Brighton, MA 02135-3601 Ph: (617) 783-7804	Connor Sullivan, LCSW 77 Warren St Bldg 2, Brighton, MA 02135-3601 Ph: (617) 783-7804

Reviews and Comments

Social Worker in Brighton, MA

Katie Wynen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Katherine Plapinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Alex Eduardo Santos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-955-1564
Alice Freeman Goodrich, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-779-1685
Kyle Megrath, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Michael Okeefe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Trevor Sullivan-smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461

Connor Sullivan, LCSW - Medicare Clinical Social Worker in Brighton, MA