Breanna Bielecki, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Gloversville, New York. Her current practice location is
11-21 Broadway St, Gloversville, New York. You can reach out to her office (for appointments etc.) via phone at
(518) 725-4310.
Breanna Bielecki is licensed to practice in Massachusetts (license number LICSW128611) 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 1316541642.
Healthcare Provider's Profile
| Full Name | Breanna Bielecki |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 11-21 Broadway St, Gloversville, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316541642
- Provider Enumeration Date: 11/27/2020
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234662974
- Enrollment ID: I20241101002163
Medical Identifiers
Medical identifiers for Breanna Bielecki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316541642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW128611 (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. Breanna Bielecki allows following entities to bill medicare on her behalf.
| Entity Name | Valera Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437782349
PECOS PAC ID: 0547690521
Enrollment ID: O20220317001034 |
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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. Breanna Bielecki 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 |
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Breanna Bielecki, LICSW
11-21 Broadway St,
Gloversville, NY 12078-3968
Ph: () - | Breanna Bielecki, LICSW
11-21 Broadway St,
Gloversville, NY 12078-3964
Ph: (518) 725-4310 |
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