Ms Rosalie Fazio-eynullayeva, is a medicare enrolled "Social Worker - Clinical" provider in Boston, Massachusetts. Her current practice location is
175 Federal St Ste 1400, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(324) 661-7336.
Ms Rosalie Fazio-eynullayeva is licensed to practice in Massachusetts (license number 228134) 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 1730852062.
Healthcare Provider's Profile
| Full Name | Ms Rosalie Fazio-eynullayeva |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 175 Federal St Ste 1400, Boston, Massachusetts |
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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: 1730852062
- Provider Enumeration Date: 08/02/2021
- Last Update Date: 07/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385170620
- Enrollment ID: I20241210000964
Medical Identifiers
Medical identifiers for Ms Rosalie Fazio-eynullayeva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730852062 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 228134 (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. Ms Rosalie Fazio-eynullayeva allows following entities to bill medicare on her behalf.
| Entity Name | Child And Family Psychological Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912987181
PECOS PAC ID: 5991763823
Enrollment ID: O20041227000004 |
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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 Rosalie Fazio-eynullayeva 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 |
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Ms Rosalie Fazio-eynullayeva,
60 Florence Ave,
Revere, MA 02151-3513
Ph: () - | Ms Rosalie Fazio-eynullayeva,
175 Federal St Ste 1400,
Boston, MA 02110-2237
Ph: (324) 661-7336 |
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