Christopher M Dorval, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Johnston, Rhode Island. His current practice location is
1524 Atwood Ave Ste 244, Johnston, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 626-0169.
Christopher M Dorval is licensed to practice in Rhode Island (license number ISW02895) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770849010.
Healthcare Provider's Profile
| Full Name | Christopher M Dorval |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1524 Atwood Ave Ste 244, Johnston, Rhode Island |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1770849010
- Provider Enumeration Date: 04/11/2012
- Last Update Date: 12/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537531595
- Enrollment ID: I20230221001645
Medical Identifiers
Medical identifiers for Christopher M Dorval such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770849010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17440 (Massachusetts) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 200020 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | 224236 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW02895 (Rhode Island) | 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. Christopher M Dorval allows following entities to bill medicare on his behalf.
| Entity Name | Ocean State Behavioral Health Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508462128
PECOS PAC ID: 6901278969
Enrollment ID: O20230221001557 |
|---|
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. Christopher M Dorval 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 |
|---|
Christopher M Dorval, LICSW
64 Emerald Way,
North Scituate, RI 02857-2860
Ph: (401) 626-0169 | Christopher M Dorval, LICSW
1524 Atwood Ave Ste 244,
Johnston, RI 02919-3228
Ph: (401) 626-0169 |
Reviews and Comments