Andy Montan Santos, LCSW is a medicare enrolled "Social Worker" provider in Providence, Rhode Island. His current practice location is
530 N Main St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 276-6156.
Andy Montan Santos is licensed to practice in Rhode Island (license number CSW02366) 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 1972161644.
Healthcare Provider's Profile
| Full Name | Andy Montan Santos |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 530 N Main St, Providence, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972161644
- Provider Enumeration Date: 05/29/2019
- Last Update Date: 11/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 0547694580
- Enrollment ID: I20191227000314
Medical Identifiers
Medical identifiers for Andy Montan Santos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972161644 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Rhode Island) | Secondary |
| 104100000X | Social Worker | CSW02366 (Rhode Island) | 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. Andy Montan Santos allows following entities to bill medicare on his behalf.
| Entity Name | The Providence Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104847946
PECOS PAC ID: 9739080292
Enrollment ID: O20040116000840 |
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| Entity Name | Supportive Care I Of Rhode Island Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912666454
PECOS PAC ID: 1951793546
Enrollment ID: O20220111000885 |
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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. Andy Montan Santos 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 |
|---|
Andy Montan Santos, LCSW
279 Dodge St,
Warwick, RI 02886-1909
Ph: (401) 678-9532 | Andy Montan Santos, LCSW
530 N Main St,
Providence, RI 02904-5762
Ph: (401) 276-6156 |
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