Michelle Vidal, LICSW in Medford, MA - Medicare Social Worker Provider

Michelle Vidal, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Medford, Massachusetts. Her current practice location is 170 Governors Ave, Lawrence Memorial Hospital, Medford, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 306-6008.

Michelle Vidal is licensed to practice in Massachusetts (license number 114943) 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 1124362389.

Contact Information

	Michelle Vidal, LICSW
	170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643
	(781) 306-6008
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Vidal
Gender	Female
Speciality	Social Worker - Clinical
Location	170 Governors Ave, Medford, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124362389
Provider Enumeration Date: 11/12/2012
Last Update Date: 11/12/2012

Medicare PECOS Information:

PECOS PAC ID: 2860638947
Enrollment ID: I20130416000121

Medical Identifiers

Medical identifiers for Michelle Vidal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124362389	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	114943 (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. Michelle Vidal allows following entities to bill medicare on her behalf.

Entity Name	Melrosewakefield Healthcare, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841290467 PECOS PAC ID: 8224935838 Enrollment ID: O20040504000734

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. Michelle Vidal 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
Michelle Vidal, LICSW 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 Ph: (781) 306-6008	Michelle Vidal, LICSW 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 Ph: (781) 306-6008

Reviews and Comments

Social Worker in Medford, MA

Deborah Herzog, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 High St Ste 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564
Mr. Howard David Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 Park St - Apt. 2, Medford, MA 02155 Phone: 781-395-7374
Mrs. Kerri Anne Dewolf, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-306-6157 Fax: 781-306-6146
Alexandra Jane Kennedy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Washington St, Medford, MA 02155 Phone: 413-464-3067
Mr. William Frank Scalise, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 High St, Suite 2a, Medford, MA 02155 Phone: 781-393-0009 Fax: 781-395-2909
Sarah Evans, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 High St, Suite 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564
Ms. Kerry Lynn Desista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Rd, Suite 209, Medford, MA 02155 Phone: 781-395-0351

Michelle Vidal, LICSW - Medicare Clinical Social Worker in Medford, MA