Mrs Bethany Laura Connolly, LICSW in Worcester, MA - Medicare Social Worker Provider

Mrs Bethany Laura Connolly, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Worcester, Massachusetts. Her current practice location is 81 Plantation St, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 890-6519.

Mrs Bethany Laura Connolly is licensed to practice in Massachusetts (license number 114558) 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 1750448577.

Contact Information

	Mrs Bethany Laura Connolly, LICSW
	81 Plantation St, Worcester, MA 01604-3069
	(508) 890-6519
	(508) 363-0562

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Bethany Laura Connolly
Gender	Female
Speciality	Social Worker - Clinical
Location	81 Plantation St, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750448577
Provider Enumeration Date: 01/02/2007
Last Update Date: 08/28/2014

Medicare PECOS Information:

PECOS PAC ID: 9032330618
Enrollment ID: I20141023002001

Medical Identifiers

Medical identifiers for Mrs Bethany Laura Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750448577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	114558 (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. Mrs Bethany Laura Connolly allows following entities to bill medicare on her behalf.

Entity Name	Youth Opportunities Upheld Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469

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. Mrs Bethany Laura Connolly 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
Mrs Bethany Laura Connolly, LICSW 39 Oneil St, Hudson, MA 01749-1618 Ph: (508) 612-3470	Mrs Bethany Laura Connolly, LICSW 81 Plantation St, Worcester, MA 01604-3069 Ph: (508) 890-6519

Reviews and Comments

Social Worker in Worcester, MA

Kristi Dawn Vargas, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1295
Michael G Durben, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Lincoln St, Worcester, MA 01605 Phone: 978-632-9400
Jordan Doucette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000
Ms. Laurie J Drazek, LCSW, M. ED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 Highland Street, Worcester, MA 01602 Phone: 508-860-1172
Ms. Tuyet Tran, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-981-9797
Kristine E Lotoski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Suite 383, Worcester, MA 01608 Phone: 508-791-4976 Fax: 508-791-6723
Ms. Julia Joachim Shaw, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 617-817-2033

Mrs Bethany Laura Connolly, LICSW - Medicare Clinical Social Worker in Worcester, MA