Ms Mary Jane Pizza, MSW, LICSW, LCDP is a medicare enrolled "Social Worker - Clinical" provider in Providence, Rhode Island. Her current practice location is
2 Dudley St Ste 375moc, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 606-8530.
Ms Mary Jane Pizza is licensed to practice in Rhode Island (license number ISW01284) 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 1386607893.
Healthcare Provider's Profile
| Full Name | Ms Mary Jane Pizza |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2 Dudley St Ste 375moc, Providence, Rhode Island |
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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: 1386607893
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183075732
- Enrollment ID: I20240108004284
Medical Identifiers
Medical identifiers for Ms Mary Jane Pizza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386607893 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDP00331 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | ISW01284 (Rhode Island) | 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. Ms Mary Jane Pizza allows following entities to bill medicare on her behalf.
| Entity Name | Rhode Island Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105 |
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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. Ms Mary Jane Pizza 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 |
|---|
Ms Mary Jane Pizza, MSW, LICSW, LCDP
117 Ellenfield St Ste 101,
Providence, RI 02905-4541
Ph: () - | Ms Mary Jane Pizza, MSW, LICSW, LCDP
2 Dudley St Ste 375moc,
Providence, RI 02905-3236
Ph: (401) 606-8530 |
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