Micaela S Devonish, in Randolph, MA - Medicare Counselor Provider

Micaela S Devonish, is a medicare enrolled "Counselor - Mental Health" provider in Randolph, Massachusetts. Her current practice location is 41 Pacella Park Dr, Randolph, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 440-0400.

Micaela S Devonish is licensed to practice in * (Not Available) (license number ) 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 1104459080.

Contact Information

	Micaela S Devonish,
	41 Pacella Park Dr, Randolph, MA 02368-1755
	(781) 440-0400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Micaela S Devonish
Gender	Female
Speciality	Counselor - Mental Health
Location	41 Pacella Park Dr, Randolph, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104459080
Provider Enumeration Date: 02/19/2020
Last Update Date: 02/19/2020

Medicare PECOS Information:

PECOS PAC ID: 4587105812
Enrollment ID: I20240926000718

Medical Identifiers

Medical identifiers for Micaela S Devonish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104459080	NPI	-	NPPES
110026265E	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. Micaela S Devonish allows following entities to bill medicare on her behalf.

Entity Name	Boston Neurobehavioral Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558415307 PECOS PAC ID: 9436142429 Enrollment ID: O20120926000381

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. Micaela S Devonish 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
Micaela S Devonish, 41 Pacella Park Dr, Randolph, MA 02368-1755 Ph: (781) 440-0400	Micaela S Devonish, 41 Pacella Park Dr, Randolph, MA 02368-1755 Ph: (781) 440-0400

Reviews and Comments

Counselor in Randolph, MA

Kafunda Banks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400
Rene Schwiesow, Counselor Medicare: Medicare Enrolled Practice Location: 41 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400
Alexander Gasdia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400
Courtney Destremps, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400
Mr. Michael Thomas Quinn, BCBA SPED Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr., May Institute, Randolph, MA 02368 Phone: 781-437-1400
Victoria Symkus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400
Gabrielle N Bartholomew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Pacella Park Dr, Randolph, MA 02368 Phone: 781-440-0400

Micaela S Devonish, - Medicare Counselor in Randolph, MA