Mr Jonathan A Luysterborghs, LCSW in Middletown, CT

Mr Jonathan A Luysterborghs, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Middletown, Connecticut. His current practice location is 635 Main St, Middletown, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 347-6971.

Mr Jonathan A Luysterborghs is licensed to practice in Connecticut (license number 004330) 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 1821055716.

Contact Information

	Mr Jonathan A Luysterborghs, LCSW
	635 Main St, Middletown, CT 06457-2718
	(860) 347-6971
	(860) 638-6601

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jonathan A Luysterborghs
Gender	Male
Speciality	Social Worker - Clinical
Location	635 Main St, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821055716
Provider Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941215016
Enrollment ID: I20060210000039

Medical Identifiers

Medical identifiers for Mr Jonathan A Luysterborghs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821055716	NPI	-	NPPES
382736	Other	CT	VALUEOPTIONS
191056	Other	CT	MANAGED HEALTH NETWORK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	004330 (Connecticut)	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 Jonathan A Luysterborghs allows following entities to bill medicare on his behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902831548 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000291

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 Jonathan A Luysterborghs 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 Jonathan A Luysterborghs, LCSW 635 Main St, Middletown, CT 06457-2718 Ph: (860) 347-6971	Mr Jonathan A Luysterborghs, LCSW 635 Main St, Middletown, CT 06457-2718 Ph: (860) 347-6971

Reviews and Comments

Social Worker in Middletown, CT

Rebecca Rotondo, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 Phone: 860-343-5300
Ellen B Koch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: River Valley Services, Dutton Home Silver St, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356
Vanessa M Cardella, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 267 William St, Middletown, CT 06457 Phone: 860-834-1018
Amanda L Wolf, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Macdonough Pl, Middletown, CT 06457 Phone: 860-358-3437
Catherine A Stone, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 363 Main St Ste 509, Middletown, CT 06457 Phone: 203-584-5206
Rachel U Manemeit, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Dutton Home Silver St, River Valley Services, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356
Mr. Walter Livingston Miller, LCSW LADC NCGC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Problem Gambling Services 2 Vance Drive Russell Hall, Connecticut Valley Hospital, Middletown, CT 06457 Phone: 860-344-2244 Fax: 860-344-2360

Mr Jonathan A Luysterborghs, LCSW - Medicare Clinical Social Worker in Middletown, CT