Michael Suraci, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in New Haven, Connecticut. He graduated from healthcare school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Shoreline Wellness Behavioral Health Outreach Inc and his current practice location is
34 Park St, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 974-7300.
Michael Suraci is licensed to practice in Connecticut (license number 008720) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629436258.
Healthcare Provider's Profile
| Full Name | Michael Suraci |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 34 Park St, New Haven, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Suraci graduated from medical school in 2012
NPI Data:
- NPI Number: 1629436258
- Provider Enumeration Date: 02/10/2016
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 4981988623
- Enrollment ID: I20170224002029
Medical Identifiers
Medical identifiers for Michael Suraci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629436258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001005 (Connecticut) | Secondary |
| 1041C0700X | Social Worker - Clinical | 008720 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Shoreline Wellness Behavioral Health Outreach Inc | 1951796119 | 10 |
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. Michael Suraci allows following entities to bill medicare on his behalf.
| Entity Name | Bhcare, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306042700
PECOS PAC ID: 5193819308
Enrollment ID: O20070919000431 |
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| Entity Name | Shoreline Wellness Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609177815
PECOS PAC ID: 9335399484
Enrollment ID: O20121025000456 |
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| Entity Name | Shoreline Wellness Behavioral Health Outreach Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144723305
PECOS PAC ID: 1951796119
Enrollment ID: O20220325000121 |
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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. Michael Suraci 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 |
|---|
Michael Suraci, LCSW, LADC
34 Park St,
New Haven, CT 06519-1109
Ph: (203) 974-7300 | Michael Suraci, LCSW, LADC
34 Park St,
New Haven, CT 06519-1109
Ph: (203) 974-7300 |
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