Mr Rolando Thomas Martinez, MSW, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in New London, Connecticut. His current practice location is
365 Montauk Ave, New London, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 444-5141.
Mr Rolando Thomas Martinez is licensed to practice in Connecticut (license number 001095) 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 1649288390.
Healthcare Provider's Profile
Full Name | Mr Rolando Thomas Martinez |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 365 Montauk Ave, New London, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649288390
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 01/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 0042284663
- Enrollment ID: I20040820000375
Medical Identifiers
Medical identifiers for Mr Rolando Thomas Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649288390 | NPI | - | NPPES |
D400060106 | Other | CT | MEDICARE |
1649288390 | Medicaid | CT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000839 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 001095 (Connecticut) | 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. Mr Rolando Thomas Martinez allows following entities to bill medicare on his behalf.
Entity Name | Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
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Entity Name | Catholic Charities Inc Archdiocese Of Hartford |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245324516 PECOS PAC ID: 2567367469 Enrollment ID: O20040521000152 |
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Entity Name | Wellqor Psychological Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063920841 PECOS PAC ID: 1658633292 Enrollment ID: O20180320001904 |
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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. Mr Rolando Thomas Martinez 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 |
Mr Rolando Thomas Martinez, MSW, LCSW, LADC 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 444-5141 | Mr Rolando Thomas Martinez, MSW, LCSW, LADC 365 Montauk Ave, New London, CT 06320-4700 Ph: (860) 444-5141 |
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