Mr Laurence Fernandez, LCSW in Bridgeport, CT - Medicare Social Worker Provider

Mr Laurence Fernandez, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bridgeport, Connecticut. His current practice location is 97 Middle St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 579-7368.

Mr Laurence Fernandez is licensed to practice in Connecticut (license number 009632) 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 1285102301.

Contact Information

	Mr Laurence Fernandez, LCSW
	97 Middle St, Bridgeport, CT 06604-4410
	(203) 579-7368
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Laurence Fernandez
Gender	Male
Speciality	Social Worker - Clinical
Location	97 Middle St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285102301
Provider Enumeration Date: 11/06/2018
Last Update Date: 11/06/2018

Medicare PECOS Information:

PECOS PAC ID: 8224374301
Enrollment ID: I20190110000976

Medical Identifiers

Medical identifiers for Mr Laurence Fernandez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285102301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	009632 (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 Laurence Fernandez 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: 1720013360 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000785

Entity Name	State Of Connecticut
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881629434 PECOS PAC ID: 8022915677 Enrollment ID: O20041227000221

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 Laurence Fernandez 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 Laurence Fernandez, LCSW 89 Adla Dr, Hamden, CT 06514-1806 Ph: (347) 666-0397	Mr Laurence Fernandez, LCSW 97 Middle St, Bridgeport, CT 06604-4410 Ph: (203) 579-7368

Reviews and Comments

Social Worker in Bridgeport, CT

Ms. Christen A Richard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481
Kimberly Anne Foster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave, Bridgeport, CT 06604 Phone: 201-317-2065
Jason Ruggiero, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Fairfield Ave Fl 2, Bridgeport, CT 06604 Phone: 203-394-6529
Mrs. Gabriele Stefanie Paul, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1635 Central Ave, Southwest Ct Mental Health System, Bridgeport, CT 06610 Phone: 203-551-7660
Paula Dodge, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Bennett St, Bridgeport, CT 06605 Phone: 203-690-5150
Shalishea Laws, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Lafayette Cir, Bridgeport, CT 06604 Phone: 203-258-1557
Ms. Alexza L Rubio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Southwest Connecticut Mental Health System, 1635 Central Avenue, Bridgeport, CT 06610 Phone: 203-551-7660 Fax: 203-551-7481

Mr Laurence Fernandez, LCSW - Medicare Clinical Social Worker in Bridgeport, CT