Drift E Mavyn, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Townshend, Vermont. current practice location is
74 Grafton Rd., Townshend, Vermont. You can reach out to office (for appointments etc.) via phone at
(802) 321-5066.
Drift E Mavyn is licensed to practice in Vermont (license number 089.0134630) and also participates in the medicare program. does not accept medicare assignments directly but may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. NPI Number is 1316683758.
Healthcare Provider's Profile
Full Name | Drift E Mavyn |
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Gender | |
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Speciality | Social Worker - Clinical |
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Location | 74 Grafton Rd., Townshend, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316683758
- Provider Enumeration Date: 05/09/2022
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557731270
- Enrollment ID: I20221221001169
Medical Identifiers
Medical identifiers for Drift E Mavyn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316683758 | NPI | - | NPPES |
5212947 | Other | VT | BCBS VERMONT |
6712069 | Medicaid | VT | |
MVP0551 | Other | VT | MVP INSURANCE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 089.0134630 (Vermont) | 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. Drift E Mavyn allows following entities to bill medicare on behalf.
Entity Name | Drift Mavyn, Licsw, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134842909 PECOS PAC ID: 0648640367 Enrollment ID: O20221221000950 |
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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. Drift E Mavyn 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 |
Drift E Mavyn, MSW, LICSW Po Box 157, Townshend, VT 05353-0157 Ph: (802) 321-5066 | Drift E Mavyn, MSW, LICSW 74 Grafton Rd., Townshend, VT 05353 Ph: (802) 321-5066 |
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