Michelle Dale, LICSW in Watertown, MA - Medicare Social Worker Provider

Michelle Dale, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Watertown, Massachusetts. Her current practice location is 173 Mount Auburn St Frnt, Watertown, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 242-1801.

Michelle Dale is licensed to practice in Massachusetts (license number 113144) 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 1043384696.

Contact Information

	Michelle Dale, LICSW
	173 Mount Auburn St Frnt, Watertown, MA 02472-4005
	(857) 242-1801
	(501) 617-2087

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Dale
Gender	Female
Speciality	Social Worker - Clinical
Location	173 Mount Auburn St Frnt, Watertown, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043384696
Provider Enumeration Date: 11/17/2006
Last Update Date: 04/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1254365455
Enrollment ID: I20050926001080

Medical Identifiers

Medical identifiers for Michelle Dale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043384696	NPI	-	NPPES
P08586	Other	MA	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11828-C (Arkansas)	Secondary
1041C0700X	Social Worker - Clinical	113144 (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. Michelle Dale allows following entities to bill medicare on her behalf.

Entity Name	Mount Auburn Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649254491 PECOS PAC ID: 2668364183 Enrollment ID: O20040329000378

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. Michelle Dale 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
Michelle Dale, LICSW 724 Possum Trot Rd, Malvern, AR 72104-7819 Ph: (501) 617-2087	Michelle Dale, LICSW 173 Mount Auburn St Frnt, Watertown, MA 02472-4005 Ph: (857) 242-1801

Reviews and Comments

Social Worker in Watertown, MA

Ariana Wermer-colan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 62 Whites Ave, Watertown, MA 02472 Phone: 781-254-6965
Ms. Janice Stubblefield-tave, MA, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 173 Mount Auburn St, Watertown, MA 02472 Phone: 617-596-1309
Francis Xavier Galligan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Grandview Ave, Watertown, MA 02472 Phone: 674-488-6135
Ari Comart, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 69 Palfrey St, Watertown, MA 02472 Phone: 617-699-3870
Mr. Joel W Teeven, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 521 Mount Auburn St, Suite 109, Watertown, MA 02472 Phone: 781-893-8168 Fax: 781-893-8168
Cristina Margarida Valente, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 N Beacon St, Watertown, MA 02472 Phone: 617-972-7444 Fax: 617-972-7586

Michelle Dale, LICSW - Medicare Clinical Social Worker in Watertown, MA