Mr Thomas John Durham, LCSW-R in Canandaigua, NY - Medicare Social Worker Provider

Mr Thomas John Durham, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Canandaigua, New York. His current practice location is 18 Douglas Dr, Canandaigua, New York. You can reach out to his office (for appointments etc.) via phone at (585) 703-8942.

Mr Thomas John Durham is licensed to practice in New York (license number 069779) 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 1639454101.

Contact Information

	Mr Thomas John Durham, LCSW-R
	18 Douglas Dr, Canandaigua, NY 14424-1018
	(585) 703-8942
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Thomas John Durham
Gender	Male
Speciality	Social Worker - Clinical
Location	18 Douglas Dr, Canandaigua, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639454101
Provider Enumeration Date: 10/17/2011
Last Update Date: 10/17/2011

Medicare PECOS Information:

PECOS PAC ID: 3971557836
Enrollment ID: I20050303000869

Medical Identifiers

Medical identifiers for Mr Thomas John Durham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639454101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	069779 (New York)	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 Thomas John Durham allows following entities to bill medicare on his behalf.

Entity Name	Mosaic Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528428208 PECOS PAC ID: 4385826585 Enrollment ID: O20110309000547

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 Thomas John Durham 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 Thomas John Durham, LCSW-R 18 Douglas Dr, Canandaigua, NY 14424-1018 Ph: (585) 703-8942	Mr Thomas John Durham, LCSW-R 18 Douglas Dr, Canandaigua, NY 14424-1018 Ph: (585) 703-8942

Reviews and Comments

Social Worker in Canandaigua, NY

Ellen Paulette Ferrara, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3071 County Complex Dr, Canandaigua, NY 14424 Phone: 585-394-4620 Fax: 585-394-1987
Mrs. Amanda Joy Westbay-rood, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-394-2000
Michelle Mcglory-whyte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1908 Saddle Horn Dr, Canandaigua, NY 14424 Phone: 585-507-1268
Mrs. Tammy Franklin, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-463-2672 Fax: 585-393-7319
Mr. Edward Joseph Thibodeau, MSSA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5234 Overlook Ln, Canandaigua, NY 14424 Phone: 585-331-9320
Ms. Katherine Nicosia, LCSW,CASAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-393-7560
Diane Lynn Johnston, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3019 County Complex Dr, Canandaigua, NY 14424 Phone: 585-396-4363 Fax: 585-396-4993

Mr Thomas John Durham, LCSW-R - Medicare Clinical Social Worker in Canandaigua, NY