Mark Jacob Longsjo, LICSW in Brockton, MA - Medicare Clinical Social Worker Provider

Mark Jacob Longsjo, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Brockton, Massachusetts. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Beth Israel Deaconess Hospital Plymouth Inc and his current practice location is Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 894-8320.

Mark Jacob Longsjo is licensed to practice in Massachusetts (license number 1026908) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013949809.

Contact Information

	Mark Jacob Longsjo, LICSW
	Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301
	(508) 894-8320
	(508) 894-8334

Map and Direction

Healthcare Provider's Profile

Full Name	Mark Jacob Longsjo
Gender	Male
Speciality	Clinical Social Worker
Experience	30 Years
Location	Mclean Hospital Southeast Location, Brockton, Massachusetts
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Jacob Longsjo graduated from medical school in 1994

NPI Data:

NPI Number: 1013949809
Provider Enumeration Date: 07/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2163572454
Enrollment ID: I20090608000462

Medical Identifiers

Medical identifiers for Mark Jacob Longsjo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013949809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1026908 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beth Israel Deaconess Hospital Plymouth	Plymouth, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beth Israel Deaconess Hospital Plymouth Inc	8224947536	6

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. Mark Jacob Longsjo allows following entities to bill medicare on his behalf.

Entity Name	Beth Israel Deaconess Hospital Plymouth Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760598700 PECOS PAC ID: 8224947536 Enrollment ID: O20050321000212

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. Mark Jacob Longsjo 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
Mark Jacob Longsjo, LICSW 115 Mill St, Belmont, MA 02478-1041 Ph: (508) 894-8320	Mark Jacob Longsjo, LICSW Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Ph: (508) 894-8320

Reviews and Comments

Social Worker in Brockton, MA

Mrs. Trinette Stephenson Hall, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Belcher Ave, Brockton, MA 02301 Phone: 781-774-0273
Jennifer Lynn Sharkansky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977
Maryellen Mcgrath-howie, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8325
Laura Ann Uribe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 Main St Fl 3, Brockton, MA 02301 Phone: 508-586-2660
Ruth Zakarin, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 Belmont St, Brockton, MA 02301 Phone: 508-583-6498
Felipe Durand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2100 Fax: 508-897-2135

Mark Jacob Longsjo, LICSW - Medicare Clinical Social Worker in Brockton, MA