Michaela U Bannon, is a medicare enrolled "Social Worker - Clinical" provider in Boston, Massachusetts. Her current practice location is
300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 355-6000.
Michaela U Bannon is licensed to practice in Massachusetts (license number 121601) 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 1043557440.
Healthcare Provider's Profile
Full Name | Michaela U Bannon |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 300 Longwood Ave, Boston, Massachusetts |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043557440
- Provider Enumeration Date: 01/07/2013
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810366143
- Enrollment ID: I20221208002321
Medical Identifiers
Medical identifiers for Michaela U Bannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043557440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 121601 (Massachusetts) | 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. Michaela U Bannon allows following entities to bill medicare on her behalf.
Entity Name | Children's Hospital Pediatric Associates, Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
---|
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. Michaela U Bannon 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 |
Michaela U Bannon, 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Michaela U Bannon, 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 |
Reviews and Comments