Mrs Maria Ivette Santana, LICSW, LADC I, MPGS is a medicare enrolled "Social Worker - Clinical" provider in Chicopee, Massachusetts. Her current practice location is
17 Basil Rd, Chicopee, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 885-3965.
Mrs Maria Ivette Santana is licensed to practice in Massachusetts (license number 118262) 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 1851447981.
Healthcare Provider's Profile
Full Name | Mrs Maria Ivette Santana |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 17 Basil Rd, Chicopee, Massachusetts |
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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: 1851447981
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 09/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 3779914858
- Enrollment ID: I20200505000441
Medical Identifiers
Medical identifiers for Mrs Maria Ivette Santana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851447981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 1620 (Massachusetts) | Secondary |
1041C0700X | Social Worker - Clinical | 118262 (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. Mrs Maria Ivette Santana allows following entities to bill medicare on her behalf.
Entity Name | Bridge Of Changes Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710597406 PECOS PAC ID: 5799190062 Enrollment ID: O20210218001602 |
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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. Mrs Maria Ivette Santana 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 Maria Ivette Santana, LICSW, LADC I, MPGS 17 Basil Rd, Chicopee, MA 01020-4938 Ph: (141) 388-5396 | Mrs Maria Ivette Santana, LICSW, LADC I, MPGS 17 Basil Rd, Chicopee, MA 01020-4938 Ph: (413) 885-3965 |
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