Kellissa Anne Paquette, LICSW in Charlestown, MA - Medicare Social Worker Provider

Kellissa Anne Paquette, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Charlestown, Massachusetts. Her current practice location is 15 Tufts St, Charlestown, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (802) 238-2263.

Kellissa Anne Paquette is licensed to practice in Massachusetts (license number 000124651) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1962122259.

Contact Information

	Kellissa Anne Paquette, LICSW
	15 Tufts St, Charlestown, MA 02129-2711
	(802) 238-2263
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellissa Anne Paquette
Gender	Female
Speciality	Social Worker - Clinical
Location	15 Tufts St, Charlestown, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962122259
Provider Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8527437987
Enrollment ID: I20221207002416

Medical Identifiers

Medical identifiers for Kellissa Anne Paquette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962122259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	000124651 (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. Kellissa Anne Paquette allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	North End Community Health Committee, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780606608 PECOS PAC ID: 8224043971 Enrollment ID: O20060216000209

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

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. Kellissa Anne Paquette 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
Kellissa Anne Paquette, LICSW 15 Tufts St, Charlestown, MA 02129-2711 Ph: (802) 238-2263	Kellissa Anne Paquette, LICSW 15 Tufts St, Charlestown, MA 02129-2711 Ph: (802) 238-2263

Reviews and Comments

Social Worker in Charlestown, MA

Breanne Muchemore, LICSW, CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 1st Ave, Charlestown, MA 02129 Phone: 617-952-5341
Karen Potter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 1st Ave, Charlestown, MA 02129 Phone: 617-952-5443
Chelsea Atzinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 High St, Charlestown, MA 02129 Phone: 617-724-8135
Leslie Parker Strachan, LICSW, LADC I Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 Main St, Charlestown, MA 02129 Phone: 617-733-5924
Deborah Wanzer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 High St, Charlestown, MA 02129 Phone: 617-724-8231
Jorge Cardona, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 High St, Charlestown, MA 02129 Phone: 617-724-8135
Jessica Woods Buckley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Sullivan St Unit 1, Charlestown, MA 02129 Phone: 978-621-9789 Fax: 781-388-1817

Kellissa Anne Paquette, LICSW - Medicare Clinical Social Worker in Charlestown, MA