Mary Elizabeth Misavage, MSW LMSW LICSW is a medicare enrolled "Social Worker - Clinical" provider in Hartford, Vermont. Her current practice location is
49 School Street, Hartford, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 295-3031.
Mary Elizabeth Misavage is licensed to practice in Vermont (license number 089.0134621) 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 1609416973.
Healthcare Provider's Profile
| Full Name | Mary Elizabeth Misavage |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 49 School Street, Hartford, Vermont |
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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: 1609416973
- Provider Enumeration Date: 01/14/2020
- Last Update Date: 06/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931587433
- Enrollment ID: I20220610001692
Medical Identifiers
Medical identifiers for Mary Elizabeth Misavage such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609416973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 097.0134691 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 156.0133903 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0134621 (Vermont) | 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. Mary Elizabeth Misavage allows following entities to bill medicare on her behalf.
| Entity Name | Health Care And Rehabilitation Services Of Southeastern Vermont Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790861342
PECOS PAC ID: 4183698830
Enrollment ID: O20040819001433 |
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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. Mary Elizabeth Misavage 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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Mary Elizabeth Misavage, MSW LMSW LICSW
390 River Street,
Springfield, VT 05156-2226
Ph: (802) 886-4500 | Mary Elizabeth Misavage, MSW LMSW LICSW
49 School Street,
Hartford, VT 05047-0709
Ph: (802) 295-3031 |
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