Elizabeth Catherine Braconi, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Manchester, New Hampshire. Her current practice location is
2 Wall St Ste 400, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 668-4111.
Elizabeth Catherine Braconi is licensed to practice in New Hampshire (license number 2098) 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 1114160579.
Healthcare Provider's Profile
Full Name | Elizabeth Catherine Braconi |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2 Wall St Ste 400, Manchester, 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: 1114160579
- Provider Enumeration Date: 04/15/2009
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305108572
- Enrollment ID: I20180328000755
Medical Identifiers
Medical identifiers for Elizabeth Catherine Braconi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114160579 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 2098 (New Hampshire) | 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. Elizabeth Catherine Braconi allows following entities to bill medicare on her behalf.
Entity Name | The Mental Health Center Of Greater Manchester |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609848811 PECOS PAC ID: 6709874274 Enrollment ID: O20040504000253 |
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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. Elizabeth Catherine Braconi 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 |
Elizabeth Catherine Braconi, LICSW 2 Wall St Ste 300, Manchester, NH 03101-1518 Ph: (603) 668-4111 | Elizabeth Catherine Braconi, LICSW 2 Wall St Ste 400, Manchester, NH 03101-1518 Ph: (603) 668-4111 |
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