Tracy L Souza, LCSW in Bangor, ME - Medicare Social Worker Provider

Tracy L Souza, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bangor, Maine. Her current practice location is 263 State St Ste 9, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 299-3463.

Tracy L Souza is licensed to practice in Maine (license number LC13597) 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 1861700031.

Contact Information

	Tracy L Souza, LCSW
	263 State St Ste 9, Bangor, ME 04401-5461
	(207) 299-3463
	(866) 283-5267

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy L Souza
Gender	Female
Speciality	Social Worker - Clinical
Location	263 State St Ste 9, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861700031
Provider Enumeration Date: 09/21/2010
Last Update Date: 09/04/2019

Medicare PECOS Information:

PECOS PAC ID: 5991954620
Enrollment ID: I20121012000312

Medical Identifiers

Medical identifiers for Tracy L Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861700031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC13597 (Maine)	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. Tracy L Souza allows following entities to bill medicare on her behalf.

Entity Name	The Counseling Center Of Nashua Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20201209003064

Entity Name	Pursuecare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962068296 PECOS PAC ID: 4587998927 Enrollment ID: O20210208001553

Entity Name	Pursuecare Me Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649008962 PECOS PAC ID: 0941732200 Enrollment ID: O20241011002828

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. Tracy L Souza 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
Tracy L Souza, LCSW Po Box 1763, Bangor, ME 04402-1763 Ph: (207) 299-3463	Tracy L Souza, LCSW 263 State St Ste 9, Bangor, ME 04401-5461 Ph: (207) 299-3463

Reviews and Comments

Social Worker in Bangor, ME

Kimberly A Mills, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 86 Davis Rd, Bangor, ME 04401 Phone: 207-992-2205 Fax: 207-992-2207
Rodney St. Louis, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp., Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109
Tabitha Sagner, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 40 Summer St, Bangor, ME 04401 Phone: 207-945-4240
Heath Myers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 895 Union St Ste 12, Bangor, ME 04401 Phone: 207-973-7979
Brooklin R Jones-banahan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12 Stillwater Ave Ste 7, Bangor, ME 04401 Phone: 207-941-0879 Fax: 207-941-0880
Anita Mathieu, LMSWCC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Ave, Bangor, ME 04401 Phone: 207-973-6100
Brenda B. Bryant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1066 Kenduskeag Ave, Bangor, ME 04401 Phone: 207-941-2855 Fax: 207-941-2835

Tracy L Souza, LCSW - Medicare Clinical Social Worker in Bangor, ME