Drift E Mavyn, MSW, LICSW in Brattleboro, VT - Medicare Social Worker Provider

Drift E Mavyn, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brattleboro, Vermont. His current practice location is 38 Park Pl, Brattleboro, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 321-5066.

Drift E Mavyn is licensed to practice in Vermont (license number 089.0134630) 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 1316683758.

Contact Information

	Drift E Mavyn, MSW, LICSW
	38 Park Pl, Brattleboro, VT 05301-2827
	(802) 321-5066
	(802) 210-3972

Map and Direction

Healthcare Provider's Profile

Full Name	Drift E Mavyn
Gender	Male
Speciality	Social Worker - Clinical
Location	38 Park Pl, Brattleboro, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316683758
Provider Enumeration Date: 05/09/2022
Last Update Date: 12/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1557731270
Enrollment ID: I20221221001169

Medical Identifiers

Medical identifiers for Drift E Mavyn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316683758	NPI	-	NPPES
5212947	Other	VT	BCBS VERMONT
6712069	Medicaid	VT
MVP0551	Other	VT	MVP INSURANCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	089.0134630 (Vermont)	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. Drift E Mavyn allows following entities to bill medicare on his behalf.

Entity Name	Drift Mavyn, Licsw, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134842909 PECOS PAC ID: 0648640367 Enrollment ID: O20221221000950

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. Drift E Mavyn 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
Drift E Mavyn, MSW, LICSW Po Box 1607, Brattleboro, VT 05302-1607 Ph: (802) 321-5066	Drift E Mavyn, MSW, LICSW 38 Park Pl, Brattleboro, VT 05301-2827 Ph: (802) 321-5066

Reviews and Comments

Social Worker in Brattleboro, VT

Margaret B Shelby, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15 Strand Ave, Brattleboro, VT 05301 Phone: 802-251-1057 Fax: 802-251-1058
Ms. Ruth Catherine Kenrick, M.A., L.I. C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 608 Town Hill Rd, Brattleboro, VT 05301 Phone: 802-258-7621
Melanie Rifkin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 189 Hillwinds N, Brattleboro, VT 05301 Phone: 215-880-4898
Kurt White, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785
Mrs. Caroline Lee Henderson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785
Susan J Shepherd, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Whipple St, Brattleboro, VT 05301 Phone: 802-254-5497
Ms. Megan Schwarz Hawthorne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1037 Western Ave, Brattleboro, VT 05301 Phone: 802-254-3489

Drift E Mavyn, MSW, LICSW - Medicare Clinical Social Worker in Brattleboro, VT