Mrs Constance W Pullen, LCSW C in Royal Oak, MD - Medicare Clinical Social Worker Provider

Mrs Constance W Pullen, LCSW C is a medicare enrolled "Social Worker - Clinical" provider in Royal Oak, Maryland. She graduated from healthcare school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is 25800 Avonia Ln, Royal Oak, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 822-6501.

Mrs Constance W Pullen is licensed to practice in Maryland (license number 06299) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790872513.

Contact Information

	Mrs Constance W Pullen, LCSW C
	25800 Avonia Ln, Royal Oak, MD 21662-1417
	(410) 822-6501
	(410) 334-6960

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Constance W Pullen
Gender	Female
Speciality	Clinical Social Worker
Experience	38 Years
Location	25800 Avonia Ln, Royal Oak, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Constance W Pullen graduated from medical school in 1986

NPI Data:

NPI Number: 1790872513
Provider Enumeration Date: 10/05/2006
Last Update Date: 01/24/2022

Medicare PECOS Information:

PECOS PAC ID: 8426240045
Enrollment ID: I20101014000048

Medical Identifiers

Medical identifiers for Mrs Constance W Pullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790872513	NPI	-	NPPES
6293528	Other		UNITED BEHAVIOR HEALTH
0007	Other	DC	CAREFIRST FEDERAL PIN
259147000	Other	MD	MAGELLAN
352441000	Other	MD	MAGELLAN PIN
100067559001	Other		AMERICAN PSYCH SYSTEM
52742702	Other	MD	CAREFIRST BCBS PIN
LM49EA	Other	MD	CAREFIRST BCBS
2101679	Other		UNITEDHEALTHCARE MAMSI PI
609550002	Medicaid	MD
609550005	Medicaid	MD
517251	Other		UHC MAMSI GROUP
723622	Other		NCPPO PIN
R968	Other	DC	CAREFIRST FEDERAL GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	06299 (Maryland)	Secondary
1041C0700X	Social Worker - Clinical	06299 (Maryland)	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. Mrs Constance W Pullen allows following entities to bill medicare on her behalf.

Entity Name	Eastern Shore Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881781508 PECOS PAC ID: 5294729950 Enrollment ID: O20040414000564

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. Mrs Constance W Pullen 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
Mrs Constance W Pullen, LCSW C 25800 Avonia Ln, Royal Oak, MD 21662-1417 Ph: (410) 822-6501	Mrs Constance W Pullen, LCSW C 25800 Avonia Ln, Royal Oak, MD 21662-1417 Ph: (410) 822-6501

Mrs Constance W Pullen, LCSW C - Medicare Counselor in Royal Oak, MD