Ms Maryellen Daly, LICSW in Brockton, MA - Medicare Social Worker Provider

Ms Maryellen Daly, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brockton, Massachusetts. Her current practice location is 209 Quincy St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 942-2143.

Ms Maryellen Daly is licensed to practice in Massachusetts (license number 106945) 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 1225189657.

Contact Information

	Ms Maryellen Daly, LICSW
	209 Quincy St, Brockton, MA 02302-2926
	(508) 942-2143
	(508) 897-2075

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Maryellen Daly
Gender	Female
Speciality	Social Worker - Clinical
Location	209 Quincy St, Brockton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225189657
Provider Enumeration Date: 01/13/2007
Last Update Date: 07/13/2016

Medicare PECOS Information:

PECOS PAC ID: 0042238784
Enrollment ID: I20051110000636

Medical Identifiers

Medical identifiers for Ms Maryellen Daly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225189657	NPI	-	NPPES
1305565	Medicaid	MA
166343000	Other	MA	MAGELLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	106945 (Massachusetts)	Primary
1041C0700X	Social Worker - Clinical	ISW00223 (Rhode Island)	Secondary

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 Maryellen Daly allows following entities to bill medicare on her behalf.

Entity Name	The Commonwealth Of Massachusetts
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326155458 PECOS PAC ID: 8820906860 Enrollment ID: O20050203000148

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 Maryellen Daly 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 Maryellen Daly, LICSW 165 Quincy St, Brockton, MA 02302-2988 Ph: (508) 897-2082	Ms Maryellen Daly, LICSW 209 Quincy St, Brockton, MA 02302-2926 Ph: (508) 942-2143

Reviews and Comments

Social Worker in Brockton, MA

Mrs. Trinette Stephenson Hall, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Belcher Ave, Brockton, MA 02301 Phone: 781-774-0273
Jennifer Lynn Sharkansky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977
Maryellen Mcgrath-howie, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8325
Laura Ann Uribe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 Main St Fl 3, Brockton, MA 02301 Phone: 508-586-2660
Mark Jacob Longsjo, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8320 Fax: 508-894-8334
Ruth Zakarin, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 Belmont St, Brockton, MA 02301 Phone: 508-583-6498
Felipe Durand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2100 Fax: 508-897-2135

Ms Maryellen Daly, LICSW - Medicare Clinical Social Worker in Brockton, MA