Mr David Susanin, LCSW in Hartford, CT - Medicare Social Worker Provider

Mr David Susanin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hartford, Connecticut. His current practice location is 500 Vine St, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 297-0810.

Mr David Susanin is licensed to practice in Connecticut (license number 004901) 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 1013091719.

Contact Information

	Mr David Susanin, LCSW
	500 Vine St, Hartford, CT 06112-1639
	(860) 297-0810
	(860) 293-6356

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David Susanin
Gender	Male
Speciality	Social Worker - Clinical
Location	500 Vine St, Hartford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013091719
Provider Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9234300161
Enrollment ID: I20110928000380

Medical Identifiers

Medical identifiers for Mr David Susanin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013091719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	004901 (Connecticut)	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 David Susanin allows following entities to bill medicare on his behalf.

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487689022 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000169

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 David Susanin 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 David Susanin, LCSW 424 Brimfield Rd, Wethersfield, CT 06109-3206 Ph: (860) 529-9113	Mr David Susanin, LCSW 500 Vine St, Hartford, CT 06112-1639 Ph: (860) 297-0810

Reviews and Comments

Social Worker in Hartford, CT

Mr. Glenn Gregory Gemma, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 555 Franklin Ave, Hartford, CT 06114 Phone: 860-756-8669
Laurel Barrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 331 Wethersfield Ave, Hartford, CT 06114 Phone: 860-971-4761
Isabella Pugliese, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 553 Farmington Ave, Hartford, CT 06105 Phone: 206-819-8258
Maryellen Thomson Sciallo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1680 Albany Ave, Hartford, CT 06105 Phone: 860-236-4511
Charlene Ann Snipes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 Vine Street, Hartford, CT 06112 Phone: 860-297-0905 Fax: 860-297-0914
Ms. Rebecca Jennifer Robotham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1680 Albany Ave, Hartford, CT 06105 Phone: 860-236-4511

Mr David Susanin, LCSW - Medicare Clinical Social Worker in Hartford, CT