Mr Thomas Friedl Porter, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Southbridge, Massachusetts. He graduated from healthcare school in 1973 and has 52 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Umass Memorial Medical Group Inc and his current practice location is
29 Pine Street, Southbridge, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(508) 765-9167.
Mr Thomas Friedl Porter is licensed to practice in Massachusetts (license number 102096) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770564551.
Healthcare Provider's Profile
Full Name | Mr Thomas Friedl Porter |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 52 Years |
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Location | 29 Pine Street, Southbridge, Massachusetts |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Thomas Friedl Porter graduated from medical school in 1973
NPI Data:
- NPI Number: 1770564551
- Provider Enumeration Date: 11/09/2005
- Last Update Date: 06/15/2011
Medicare PECOS Information:
- PECOS PAC ID: 3173414547
- Enrollment ID: I20040324000130
Medical Identifiers
Medical identifiers for Mr Thomas Friedl Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770564551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 102096 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | 102096 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
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 Thomas Friedl Porter allows following entities to bill medicare on his behalf.
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
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Entity Name | Umass Memorial Health-harrington Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790780047 PECOS PAC ID: 8123087319 Enrollment ID: O20041004001081 |
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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 Thomas Friedl Porter 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 Thomas Friedl Porter, LICSW 29 Pine Street, Southbridge, MA 01550 Ph: (508) 765-9167 | Mr Thomas Friedl Porter, LICSW 29 Pine Street, Southbridge, MA 01550 Ph: (508) 765-9167 |
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