Mr Keith Mumblo, MSW in Springfield, MA - Medicare Social Worker Provider

Mr Keith Mumblo, MSW is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Massachusetts. His current practice location is 622 State St, Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 439-1200.

Mr Keith Mumblo is licensed to practice in Massachusetts (license number 112262) 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 1740332535.

Contact Information

	Mr Keith Mumblo, MSW
	622 State St, Springfield, MA 01109-4104
	(413) 439-1200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Keith Mumblo
Gender	Male
Speciality	Social Worker - Clinical
Location	622 State St, Springfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740332535
Provider Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2668428079
Enrollment ID: I20050329001032

Medical Identifiers

Medical identifiers for Mr Keith Mumblo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740332535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	112262 (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 Keith Mumblo allows following entities to bill medicare on his behalf.

Entity Name	Behavioral Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373

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 Keith Mumblo 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 Keith Mumblo, MSW 67 Derryfield Ave, Springfield, MA 01118-1322 Ph: (413) 796-4943	Mr Keith Mumblo, MSW 622 State St, Springfield, MA 01109-4104 Ph: (413) 439-1200

Reviews and Comments

Social Worker in Springfield, MA

Stacy Skowyra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 E Columbus Ave, Springfield, MA 01105 Phone: 413-827-8959 Fax: 413-827-7015
Mary Lee Austin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Suite 402, Springfield, MA 01103 Phone: 413-781-2666
Heather Rivera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-8212
Alan Seigel, CLINICAL SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3300 Main St, Adult Behavioral Healthy Baystate Medical Center, Springfield, MA 01199 Phone: 413-794-7035 Fax: 413-794-7130
Katherine Lucas, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Springfield, MA 01103 Phone: 413-737-3730
Daniel I Olshansky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 417 Liberty St, Springfield, MA 01104 Phone: 413-301-9520
Mrs. Corinne Kane Mcdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 235 Chestnut St, Springfield, MA 01103 Phone: 413-734-4978 Fax: 413-737-4684

Mr Keith Mumblo, MSW - Medicare Clinical Social Worker in Springfield, MA