Mary Mattice, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pittsfield, Massachusetts. Her current practice location is
359 Fenn St, Administrative Offices, Pittsfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 629-1251.
Mary Mattice is licensed to practice in Florida (license number 15557) 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 1700221645.
Healthcare Provider's Profile
| Full Name | Mary Mattice |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 359 Fenn St, Pittsfield, Massachusetts |
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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: 1700221645
- Provider Enumeration Date: 05/06/2013
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496181430
- Enrollment ID: I20200211000489
Medical Identifiers
Medical identifiers for Mary Mattice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700221645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW15557 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 15557 (Florida) | 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 Mattice allows following entities to bill medicare on her behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000
PECOS PAC ID: 7214847995
Enrollment ID: O20040126000213 |
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| Entity Name | Direct Access Counseling & Supportive Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679011449
PECOS PAC ID: 3971878398
Enrollment ID: O20171010002520 |
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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 Mattice 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 Mattice, LCSW
6302 Markstown Dr Apt A,
Tampa, FL 33617-9376
Ph: (518) 364-5849 | Mary Mattice, LCSW
359 Fenn St, Administrative Offices,
Pittsfield, MA 01201-5261
Ph: (413) 629-1251 |
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