Ariel Wallen, LICSW in Swampscott, MA - Medicare Counselor Provider

Ariel Wallen, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Swampscott, Massachusetts. Her current practice location is 62 Pine St, Swampscott, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (716) 445-9097.

Ariel Wallen is licensed to practice in Massachusetts (license number 119908) 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 1588956759.

Contact Information

	Ariel Wallen, LICSW
	62 Pine St, Swampscott, MA 01907-1828
	(716) 445-9097
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ariel Wallen
Gender	Female
Speciality	Counselor - Mental Health
Location	62 Pine St, Swampscott, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588956759
Provider Enumeration Date: 05/06/2011
Last Update Date: 12/08/2021

Medicare PECOS Information:

PECOS PAC ID: 5890119440
Enrollment ID: I20200716000435

Medical Identifiers

Medical identifiers for Ariel Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588956759	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	119908 (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. Ariel Wallen allows following entities to bill medicare on her behalf.

Entity Name	Northeast Medical Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265

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. Ariel Wallen 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
Ariel Wallen, LICSW 62 Pine St, Swampscott, MA 01907-1828 Ph: (716) 445-9097	Ariel Wallen, LICSW 62 Pine St, Swampscott, MA 01907-1828 Ph: (716) 445-9097

Reviews and Comments

Counselor in Swampscott, MA

Robin L Slavin, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Highland St, Swampscott, MA 01907 Phone: 781-346-1628
Mary Katherine Doherty, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 54 Plymouth Ave, Swampscott, MA 01907 Phone: 781-710-3420
Deborah Ann Mccarriston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 133 Elmwood Rd, Swampscott, MA 01907 Phone: 781-576-0365
Mr. Louis Simons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 84 Greenwood Ave, Swampscott, MA 01907 Phone: 781-581-5037
Catherine Kalpin, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Middlesex Ave, Swampscott, MA 01907 Phone: 781-596-8812
Mr. Marc Maccini, M.ED. L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Humphrey St Apt 3, Swampscott, MA 01907 Phone: 781-820-8017
Mrs. Carol Ann Bongiorno, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Railroad Ave, Suites 5 And 7, Swampscott, MA 01907 Phone: 781-780-3037 Fax: 978-750-0370

Ariel Wallen, LICSW - Medicare Counselor in Swampscott, MA