Mr Daniel T Sullivan, LICSW in South Boston, MA - Medicare Social Worker Provider

Mr Daniel T Sullivan, LICSW is a medicare enrolled "Social Worker - Clinical" provider in South Boston, Massachusetts. His current practice location is 58 Old Colony Ave, South Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 268-1700.

Mr Daniel T Sullivan is licensed to practice in Massachusetts (license number 115114) 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 1124235734.

Contact Information

	Mr Daniel T Sullivan, LICSW
	58 Old Colony Ave, South Boston, MA 02127-2406
	(617) 268-1700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Daniel T Sullivan
Gender	Male
Speciality	Social Worker - Clinical
Location	58 Old Colony Ave, South Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124235734
Provider Enumeration Date: 05/16/2007
Last Update Date: 06/07/2011

Medicare PECOS Information:

PECOS PAC ID: 8729266036
Enrollment ID: I20110708000246

Medical Identifiers

Medical identifiers for Mr Daniel T Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124235734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	115114 (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. Mr Daniel T Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Tufts Medical Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730132515 PECOS PAC ID: 3274442223 Enrollment ID: O20050120000316

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. Mr Daniel T Sullivan 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
Mr Daniel T Sullivan, LICSW 58 Old Colony Ave, South Boston, MA 02127-2406 Ph: (617) 268-1700	Mr Daniel T Sullivan, LICSW 58 Old Colony Ave, South Boston, MA 02127-2406 Ph: (617) 268-1700

Reviews and Comments

Social Worker in South Boston, MA

Matthew P Conti, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St, South Boston, MA 02127 Phone: 617-534-9516
Michael Rainone, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 409 W Broadway, South Boston, MA 02127 Phone: 617-464-5864
John Augustus Northridge, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991
Mrs. Patricia Shen, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Athens St, South Boston, MA 02127 Phone: 617-823-5350
Paul Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 W Broadway, South Boston, MA 02127 Phone: 617-464-8571
Mrs. Mary Elizabeth Kelleher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991

Mr Daniel T Sullivan, LICSW - Medicare Clinical Social Worker in South Boston, MA