Jonathan Scully, MA in Gardner, MA - Medicare Counselor Provider

Jonathan Scully, MA is a medicare enrolled "Counselor - Mental Health" provider in Gardner, Massachusetts. His current practice location is 205 School St, Suite 301, Gardner, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 632-9400.

Jonathan Scully is licensed to practice in * (Not Available) (license number ) 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 1700322278.

Contact Information

	Jonathan Scully, MA
	205 School St, Suite 301, Gardner, MA 01440-2781
	(978) 632-9400
	(978) 632-6524

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Scully
Gender	Male
Speciality	Counselor - Mental Health
Location	205 School St, Gardner, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700322278
Provider Enumeration Date: 01/09/2017
Last Update Date: 01/09/2017

Medicare PECOS Information:

PECOS PAC ID: 1658717608
Enrollment ID: I20240312003924

Medical Identifiers

Medical identifiers for Jonathan Scully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700322278	NPI	-	NPPES
042206041	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Jonathan Scully allows following entities to bill medicare on his behalf.

Entity Name	Clinical & Support Options, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491

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. Jonathan Scully 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
Jonathan Scully, MA 205 School St, Suite 301, Gardner, MA 01440-2781 Ph: (978) 632-9400	Jonathan Scully, MA 205 School St, Suite 301, Gardner, MA 01440-2781 Ph: (978) 632-9400

Reviews and Comments

Counselor in Gardner, MA

Josephine Marshall, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 School St Ste 301, Gardner, MA 01440 Phone: 978-632-9400
John Cardinal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Graham St, Gardner, MA 01440 Phone: 978-632-4574
Ella May Alston, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 School St, Gardner, MA 01440 Phone: 978-488-8888
Ms. Kristen Lee Lunden, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 486 Chestnut St, Gardner, MA 01440 Phone: 978-502-9720
Daniela Andrea Londono, Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 Ash St Bsmt, Gardner, MA 01440 Phone: 321-301-9154
Mrs. Karyn Madden, B.S.HUMAN DEVELOPMEN Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Lake St, Gardner, MA 01440 Phone: 978-632-4432 Fax: 978-632-6022
Ms. Kasandra Ann Harper, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Lake St Ste 180, Gardner, MA 01440 Phone: 774-293-2425

Jonathan Scully, MA - Medicare Counselor in Gardner, MA