Mr John Edward Scalise, MA - Medicare Counselor in Mount Pleasant, MI

Mr John Edward Scalise, MA is a medicare enrolled "Social Worker - Clinical" provider in Mount Pleasant, Michigan. He graduated from healthcare school in 1981 and has 43 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Behavioral Medicine Associates Of Mid Michigan Pc and his current practice location is 301 S Crapo St, Suite 200, Mount Pleasant, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 772-5938.

Mr John Edward Scalise is licensed to practice in Michigan (license number 6801062435) 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 1346320454.

Contact Information

Mr John Edward Scalise, MA
301 S Crapo St, Suite 200,
Mount Pleasant, MI 48858-2941
(989) 772-5938
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr John Edward Scalise
GenderMale
SpecialityClinical Social Worker
Experience43 Years
Location301 S Crapo St, Mount Pleasant, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John Edward Scalise graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1346320454
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 05/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4385811645
  • Enrollment ID: I20120127000232

Medical Identifiers

Medical identifiers for Mr John Edward Scalise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346320454NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 6401002793 (Michigan)Secondary
103TC0700XPsychologist - Clinical 6301005924 (Michigan)Secondary
1041C0700XSocial Worker - Clinical 6801062435 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Behavioral Medicine Associates Of Mid Michigan Pc61038234065

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. Mr John Edward Scalise allows following entities to bill medicare on his behalf.
Entity NameBehavioral Medicine Associates Of Mid Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740370089
PECOS PAC ID: 6103823406
Enrollment ID: O20061030000422

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. Mr John Edward Scalise 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 AddressPractice Location Address
Mr John Edward Scalise, MA
304 E High St,
Mount Pleasant, MI 48858-3552

Ph: (989) 772-3948
Mr John Edward Scalise, MA
301 S Crapo St, Suite 200,
Mount Pleasant, MI 48858-2941

Ph: (989) 772-5938

Reviews and Comments


Social Worker in Mount Pleasant, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.