Ms Elizabeth Dutilly Mason, LCSW in Bridgeport, CT - Medicare Social Worker Provider

Ms Elizabeth Dutilly Mason, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bridgeport, Connecticut. Her current practice location is 1558 Barnum Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 384-3377.

Ms Elizabeth Dutilly Mason is licensed to practice in Connecticut (license number 11637) 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 1255007670.

Contact Information

	Ms Elizabeth Dutilly Mason, LCSW
	1558 Barnum Ave, Bridgeport, CT 06610-3238
	(203) 384-3377
	(203) 378-8578

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Elizabeth Dutilly Mason
Gender	Female
Speciality	Social Worker - Clinical
Location	1558 Barnum Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255007670
Provider Enumeration Date: 08/17/2021
Last Update Date: 08/17/2021

Medicare PECOS Information:

PECOS PAC ID: 0143626119
Enrollment ID: I20210831002308

Medical Identifiers

Medical identifiers for Ms Elizabeth Dutilly Mason such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255007670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11637 (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. Ms Elizabeth Dutilly Mason allows following entities to bill medicare on her behalf.

Entity Name	Bridgeport Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649260845 PECOS PAC ID: 2062312598 Enrollment ID: O20040120000425

Entity Name	Cyril Waynik Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467675850 PECOS PAC ID: 8921198193 Enrollment ID: O20140808000684

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. Ms Elizabeth Dutilly Mason 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
Ms Elizabeth Dutilly Mason, LCSW 1558 Barnum Ave, Bridgeport, CT 06610-3238 Ph: (203) 384-3377	Ms Elizabeth Dutilly Mason, LCSW 1558 Barnum Ave, Bridgeport, CT 06610-3238 Ph: (203) 384-3377

Reviews and Comments

Social Worker in Bridgeport, CT

Ms. Christen A Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481
Kimberly Anne Foster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 201-317-2065
Jason Ruggiero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave Fl 2, Bridgeport, CT 06604 Phone: 203-394-6529
Mrs. Gabriele Stefanie Paul, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Ave, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660
Paula Dodge, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-690-5150
Shalishea Laws, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Lafayette Cir, Bridgeport, CT 06604 Phone: 203-258-1557
Ms. Alexza L Rubio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Southwest Connecticut Mental Health System, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481

Ms Elizabeth Dutilly Mason, LCSW - Medicare Clinical Social Worker in Bridgeport, CT