Audrey Clairmont, MSW, LICSW, MLADC is a medicare enrolled "Social Worker - Clinical" provider in Concord, New Hampshire. Her current practice location is
42 Pleasant St, Concord, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 226-7505.
Audrey Clairmont is licensed to practice in Massachusetts (license number 123094) 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 1043690530.
Healthcare Provider's Profile
Full Name | Audrey Clairmont |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 42 Pleasant St, Concord, New Hampshire |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043690530
- Provider Enumeration Date: 06/01/2015
- Last Update Date: 01/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830441260
- Enrollment ID: I20210127002888
Medical Identifiers
Medical identifiers for Audrey Clairmont such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043690530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1071 (New Hampshire) | Secondary |
1041C0700X | Social Worker - Clinical | 123094 (Massachusetts) | Primary |
1041C0700X | Social Worker - Clinical | 2125 (New Hampshire) | Secondary |
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. Audrey Clairmont allows following entities to bill medicare on her behalf.
Entity Name | North Suffolk Mental Health Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740209881 PECOS PAC ID: 9234037516 Enrollment ID: O20040331000751 |
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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. Audrey Clairmont 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 |
Audrey Clairmont, MSW, LICSW, MLADC Po Box 2032, Concord, NH 03302-2032 Ph: () - | Audrey Clairmont, MSW, LICSW, MLADC 42 Pleasant St, Concord, NH 03301-4006 Ph: (603) 226-7505 |
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