Susan Waverly Gagnon, LICSW in Pittsfield, MA - Medicare Social Worker Provider

Susan Waverly Gagnon, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Pittsfield, Massachusetts. Her current practice location is 725 North Street, Dept Of Psychiatry, Pittsfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 447-2655.

Susan Waverly Gagnon is licensed to practice in Massachusetts (license number 105461) 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 1376553669.

Contact Information

	Susan Waverly Gagnon, LICSW
	725 North Street, Dept Of Psychiatry, Pittsfield, MA 01201-8501
	(413) 447-2655
	(413) 447-2656

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Waverly Gagnon
Gender	Female
Speciality	Social Worker - Clinical
Location	725 North Street, Pittsfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376553669
Provider Enumeration Date: 08/09/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7911968433
Enrollment ID: I20041019000744

Medical Identifiers

Medical identifiers for Susan Waverly Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376553669	NPI	-	NPPES
1200143	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	105461 (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. Susan Waverly Gagnon allows following entities to bill medicare on her behalf.

Entity Name	Berkshire Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088

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. Susan Waverly Gagnon 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
Susan Waverly Gagnon, LICSW 725 North Street, Dept Of Psychiatry, Pittsfield, MA 01201-8501 Ph: (413) 447-2655	Susan Waverly Gagnon, LICSW 725 North Street, Dept Of Psychiatry, Pittsfield, MA 01201-8501 Ph: (413) 447-2655

Reviews and Comments

Social Worker in Pittsfield, MA

Douglas Beaven Spoehr, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 725 North St, Pittsfield, MA 01201 Phone: 413-447-2655 Fax: 413-447-2656
Ashley Jane Wren, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 66 West St, Pittsfield, MA 01201 Phone: 413-629-1198
Karen Anne Mcnulty, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 725 North Street, Dept Of Psychiatry, Pittsfield, MA 01201 Phone: 413-447-2655 Fax: 413-447-2656
Holly Merchant, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 877 South St Ste 1w, Pittsfield, MA 01201 Phone: 413-443-2994
Karen Browne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 139 North St, Pittsfield, MA 01201 Phone: 413-442-4003
Susan Kelly, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 42 Wendell Avenue, Pittsfield, MA 01201 Phone: 413-281-8984 Fax: 413-496-9116
Ms. Laura E Page, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 54 Wendell Ave, Ste 1, Pittsfield, MA 01201 Phone: 413-442-0877 Fax: 413-499-3974

Susan Waverly Gagnon, LICSW - Medicare Clinical Social Worker in Pittsfield, MA