Ms Kenna M Sullivan, LICSW in Brighton, MA - Medicare Social Worker Provider

Ms Kenna M Sullivan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brighton, Massachusetts. Her current practice location is 692 Washington St, Brighton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 312-8067.

Ms Kenna M Sullivan is licensed to practice in Massachusetts (license number 107098) 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 1942410402.

Contact Information

	Ms Kenna M Sullivan, LICSW
	692 Washington St, Brighton, MA 02135-1537
	(617) 312-8067
	(617) 254-9479

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kenna M Sullivan
Gender	Female
Speciality	Social Worker - Clinical
Location	692 Washington St, Brighton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942410402
Provider Enumeration Date: 05/23/2007
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 7618922543
Enrollment ID: I20210510001626

Medical Identifiers

Medical identifiers for Ms Kenna M Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942410402	NPI	-	NPPES
1854526	Medicaid	MA
62-00541	Other	MA	EVERCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107098 (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. Ms Kenna M Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Newport County Community Mental Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093713174 PECOS PAC ID: 9830089812 Enrollment ID: O20040316000531

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 Kenna M Sullivan 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 Kenna M Sullivan, LICSW 960 Massachusetts Ave Ste 2, Boston, MA 02118-2690 Ph: () -	Ms Kenna M Sullivan, LICSW 692 Washington St, Brighton, MA 02135-1537 Ph: (617) 312-8067

Reviews and Comments

Social Worker in Brighton, MA

Katie Wynen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Katherine Plapinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Alex Eduardo Santos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-955-1564
Alice Freeman Goodrich, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-779-1685
Kyle Megrath, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Michael Okeefe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461
Trevor Sullivan-smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461

Ms Kenna M Sullivan, LICSW - Medicare Clinical Social Worker in Brighton, MA