Omar Seguinot Quintana, is a medicare enrolled "Social Worker - Clinical" provider in West Springfield, Massachusetts. His current practice location is
124 Cayenne St, West Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 206-9019.
Omar Seguinot Quintana is licensed to practice in Massachusetts (license number 124408) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922425644.
Healthcare Provider's Profile
Full Name | Omar Seguinot Quintana |
---|
Gender | Male |
---|
Speciality | Social Worker - Clinical |
---|
Location | 124 Cayenne St, West Springfield, Massachusetts |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922425644
- Provider Enumeration Date: 03/19/2014
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002353448
- Enrollment ID: I20240803000207
Medical Identifiers
Medical identifiers for Omar Seguinot Quintana such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922425644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 124408 (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. Omar Seguinot Quintana allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pa |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
---|
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. Omar Seguinot Quintana 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 |
Omar Seguinot Quintana, 124 Cayenne St, West Springfield, MA 01089-4515 Ph: () - | Omar Seguinot Quintana, 124 Cayenne St, West Springfield, MA 01089-4515 Ph: (413) 206-9019 |
Reviews and Comments