Kaitlyn Sullivan Martin, LICSW in Wilbraham, MA - Medicare Social Worker Provider

Kaitlyn Sullivan Martin, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Wilbraham, Massachusetts. Her current practice location is 20 Blacksmith Rd, Wilbraham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 244-5781.

Kaitlyn Sullivan Martin is licensed to practice in Massachusetts (license number 126248) 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 1811676851.

Contact Information

	Kaitlyn Sullivan Martin, LICSW
	20 Blacksmith Rd, Wilbraham, MA 01095-1312
	(413) 244-5781
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kaitlyn Sullivan Martin
Gender	Female
Speciality	Social Worker - Clinical
Location	20 Blacksmith Rd, Wilbraham, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811676851
Provider Enumeration Date: 07/17/2023
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 3072041151
Enrollment ID: I20250117000647

Medical Identifiers

Medical identifiers for Kaitlyn Sullivan Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811676851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	126248 (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. Kaitlyn Sullivan Martin allows following entities to bill medicare on her behalf.

Entity Name	413therapy Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184183790 PECOS PAC ID: 8022558394 Enrollment ID: O20240912004040

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. Kaitlyn Sullivan Martin 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
Kaitlyn Sullivan Martin, LICSW 20 Blacksmith Rd, Wilbraham, MA 01095-1312 Ph: (413) 244-5781	Kaitlyn Sullivan Martin, LICSW 20 Blacksmith Rd, Wilbraham, MA 01095-1312 Ph: (413) 244-5781

Reviews and Comments

Social Worker in Wilbraham, MA

Mrs. Susan W James, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 919 Main St., Wilbraham, MA 01095 Phone: 413-596-9059 Fax: 413-596-2366
Laura Stebbins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 Pleasant View Rd, Wilbraham, MA 01095 Phone: 413-237-4480
Jordana Adair-pinnock, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Highview Cir, Wilbraham, MA 01095 Phone: 631-848-7972
Mrs. Shannon K Mumblo, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Longfellow Rd, Wilbraham, MA 01095 Phone: 413-297-5552
Jaime Thayer-awoniyi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2207 Boston Rd, Wilbraham, MA 01095 Phone: 413-995-1201
Jennifer L Jodoin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 347 Stony Hill Rd, Wilbraham, MA 01095 Phone: 413-306-8007
Hannah Bowen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2377 Boston Rd Ste 8, Wilbraham, MA 01095 Phone: 413-722-5573

Kaitlyn Sullivan Martin, LICSW - Medicare Clinical Social Worker in Wilbraham, MA