Ms Regina Marie Mattrella, LICSW is a medicare enrolled "Social Worker" provider in Concord, New Hampshire. Her current practice location is
250 Pleasant St, Concord, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 228-7200.
Ms Regina Marie Mattrella is licensed to practice in New Hampshire (license number 1467) 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 1750017968.
Healthcare Provider's Profile
| Full Name | Ms Regina Marie Mattrella |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 250 Pleasant St, Concord, New Hampshire |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1750017968
- Provider Enumeration Date: 07/29/2022
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608250642
- Enrollment ID: I20220825001093
Medical Identifiers
Medical identifiers for Ms Regina Marie Mattrella such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750017968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1467 (New Hampshire) | Secondary |
| 104100000X | Social Worker | 1467 (New Hampshire) | 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 Regina Marie Mattrella allows following entities to bill medicare on her behalf.
| Entity Name | Concord Hospital Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1194778571
PECOS PAC ID: 6103721790
Enrollment ID: O20040405000916 |
|---|
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 Regina Marie Mattrella 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 Regina Marie Mattrella, LICSW
250 Pleasant St,
Concord, NH 03301-2598
Ph: (603) 230-7235 | Ms Regina Marie Mattrella, LICSW
250 Pleasant St,
Concord, NH 03301-2598
Ph: (603) 228-7200 |
Reviews and Comments