Mr Luke George Mihaylo Jr, LCSW LADC is a medicare enrolled "Social Worker - Clinical" provider in Bridgewater, Connecticut. His current practice location is
82 Wewaka Brook Rd, Bridgewater, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 355-2995.
Mr Luke George Mihaylo Jr is licensed to practice in Connecticut (license number 140004395CT02) 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 1811072374.
Healthcare Provider's Profile
| Full Name | Mr Luke George Mihaylo Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 82 Wewaka Brook Rd, Bridgewater, Connecticut |
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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: 1811072374
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 01/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860791993
- Enrollment ID: I20160425001144
Medical Identifiers
Medical identifiers for Mr Luke George Mihaylo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811072374 | NPI | - | NPPES |
| 11467756 | Other | CT | UNIVERSAL CREDENTIALING |
| 140004395CT02 | Other | CT | LICENSED CLINICAL SW |
| 140004395CT02 | Other | CT | ANTHEM BLUE CROSS/BS |
| 30000223CT01-LADC | Other | CT | LICENSED DRUG/ALCOHOL |
| 30000223CT01-LADC | Other | CT | ANTHEM BLUE CROSS/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 30000223CT01-LADC (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 140004395CT02 (Connecticut) | Primary |
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. Mr Luke George Mihaylo Jr 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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Mr Luke George Mihaylo Jr, LCSW LADC
82 Wewaka Brook Rd,
Bridgewater, CT 06752-1712
Ph: (860) 355-2995 | Mr Luke George Mihaylo Jr, LCSW LADC
82 Wewaka Brook Rd,
Bridgewater, CT 06752-1712
Ph: (860) 355-2995 |
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