Mr Clyde William Godfrey I, LICSW in Tiverton, RI - Medicare Social Worker Provider

Mr Clyde William Godfrey I, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Tiverton, Rhode Island. His current practice location is 52 Captains Cir, Tiverton, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (508) 493-3399.

Mr Clyde William Godfrey I is licensed to practice in Massachusetts (license number 1026910) 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 1093112567.

Contact Information

	Mr Clyde William Godfrey I, LICSW
	52 Captains Cir, Tiverton, RI 02878-2408
	(508) 493-3399
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clyde William Godfrey I
Gender	Male
Speciality	Social Worker - Clinical
Location	52 Captains Cir, Tiverton, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093112567
Provider Enumeration Date: 11/29/2014
Last Update Date: 11/29/2014

Medicare PECOS Information:

PECOS PAC ID: 7517283716
Enrollment ID: I20150306000130

Medical Identifiers

Medical identifiers for Mr Clyde William Godfrey I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093112567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1026910 (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. Mr Clyde William Godfrey I allows following entities to bill medicare on his behalf.

Entity Name	Child & Family Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205813540 PECOS PAC ID: 9234116583 Enrollment ID: O20040812000815

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. Mr Clyde William Godfrey I 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
Mr Clyde William Godfrey I, LICSW Po Box 265, Tiverton, RI 02878-0265 Ph: (508) 493-3399	Mr Clyde William Godfrey I, LICSW 52 Captains Cir, Tiverton, RI 02878-2408 Ph: (508) 493-3399

Reviews and Comments

Social Worker in Tiverton, RI

Ms. Geraldine Feldman, MSW, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 155 Main Rd, Tiverton, RI 02878 Phone: 401-662-1419
Ms. Seena Sheri Franklin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 Durfee Rd, Tiverton, RI 02878 Phone: 401-625-5581
Amy Mello, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Harris Drive, Tiverton, RI 02878 Phone: 401-935-1094
Tracy Ann Dagesse, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 155 Main Rd, Tiverton, RI 02878 Phone: 401-624-7473
Mrs. Sharon T Rust, LICWS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8 Neck Rd, Tiverton, RI 02878 Phone: 401-207-4316 Fax: 401-207-4316

Mr Clyde William Godfrey I, LICSW - Medicare Clinical Social Worker in Tiverton, RI