Leslie D Mavromatis, LICSW in Bridgeport, WV - Medicare Counselor Provider

Leslie D Mavromatis, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Bridgeport, West Virginia. Her current practice location is 527 Medical Park Dr, Bridgeport, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 933-3885.

Leslie D Mavromatis is licensed to practice in West Virginia (license number DP00944782) 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 1922546175.

Contact Information

	Leslie D Mavromatis, LICSW
	527 Medical Park Dr, Bridgeport, WV 26330-9008
	(304) 933-3885
	(304) 933-3887

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie D Mavromatis
Gender	Female
Speciality	Counselor - Mental Health
Location	527 Medical Park Dr, Bridgeport, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922546175
Provider Enumeration Date: 02/08/2017
Last Update Date: 02/08/2017

Medicare PECOS Information:

PECOS PAC ID: 6901274836
Enrollment ID: I20221123002526

Medical Identifiers

Medical identifiers for Leslie D Mavromatis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922546175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	DP00944782 (West Virginia)	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. Leslie D Mavromatis allows following entities to bill medicare on her behalf.

Entity Name	Bridgeport Behavioral Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538388939 PECOS PAC ID: 3375534639 Enrollment ID: O20040524001209

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. Leslie D Mavromatis 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
Leslie D Mavromatis, LICSW 527 Medical Park Dr, Bridgeport, WV 26330-9008 Ph: (304) 933-3885	Leslie D Mavromatis, LICSW 527 Medical Park Dr, Bridgeport, WV 26330-9008 Ph: (304) 933-3885

Reviews and Comments

Counselor in Bridgeport, WV

Darice Renee Yerkovich, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N Wedge St, Bridgeport, WV 26330 Phone: 304-598-0344
Katherine Elizabeth Bennett, KATHERINE PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Pl, Bridgeport, WV 26330 Phone: 304-848-5004
Sheridan Elizabeth O'donnell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Marketplace Ave., Bridgeport, WV 26330 Phone: 304-848-5770 Fax: 304-842-5477
Mr. Andro Kim Haws, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Davisson St, Bridgeport, WV 26330 Phone: 304-842-7329
Kristina Robinson, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 W Main St, Bridgeport, WV 26330 Phone: 304-842-8852
Roberta Jo Simons, Counselor Medicare: Medicare Enrolled Practice Location: 65 Professional Pl Ste 102103, Bridgeport, WV 26330 Phone: 304-848-5770
Mrs. Jacquelin Sue Snider, ADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Market Pl, Bridgeport, WV 26330 Phone: 304-848-5770

Leslie D Mavromatis, LICSW - Medicare Counselor in Bridgeport, WV