Susan Estrela, is a medicare enrolled "Social Worker" provider in Pawtucket, Rhode Island. Her current practice location is
290 Kenyon Ave, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 632-6434.
Susan Estrela is licensed to practice in * (Not Available) (license number ) 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 1013566397.
Healthcare Provider's Profile
| Full Name | Susan Estrela |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 290 Kenyon Ave, Pawtucket, 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: 1013566397
- Provider Enumeration Date: 09/09/2019
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092240127
- Enrollment ID: I20241126000749
Medical Identifiers
Medical identifiers for Susan Estrela such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013566397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ISW03623 (Rhode Island) | Secondary |
| 101YM0800X | Counselor - Mental Health | LICSW125690 (Massachusetts) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | 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. Susan Estrela allows following entities to bill medicare on her behalf.
| Entity Name | Meditelecare Of Rhode Island Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801477963
PECOS PAC ID: 4385053131
Enrollment ID: O20210506001621 |
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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. Susan Estrela 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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Susan Estrela,
Po Box 1595,
Middletown, CT 06457-8095
Ph: (607) 886-4048 | Susan Estrela,
290 Kenyon Ave,
Pawtucket, RI 02861-1112
Ph: (401) 632-6434 |
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