Jon Brennan, R-LCSW is a medicare enrolled "Counselor - Mental Health" provider in Center Moriches, New York. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Community Counseling And Lcsw Services and his current practice location is
408 Montauk Hwy, Center Moriches, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 874-0185.
Jon Brennan is licensed to practice in New York (license number R044718-1) 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 1659863868.
Healthcare Provider's Profile
| Full Name | Jon Brennan |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 33 Years |
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| Location | 408 Montauk Hwy, Center Moriches, New York |
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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:
- Jon Brennan attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1991
NPI Data:
- NPI Number: 1659863868
- Provider Enumeration Date: 06/04/2018
- Last Update Date: 01/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103172655
- Enrollment ID: I20180713000369
Medical Identifiers
Medical identifiers for Jon Brennan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659863868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | R044718-1 (New York) | Secondary |
| 101YM0800X | Counselor - Mental Health | R044718-1 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Counseling And Lcsw Services | 3577605617 | 24 |
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. Jon Brennan allows following entities to bill medicare on his behalf.
| Entity Name | Community Counseling & Lcsw Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770819690
PECOS PAC ID: 3577605617
Enrollment ID: O20100127000665 |
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| Entity Name | Visiting Counselors Of New York, Lcsw, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669906889
PECOS PAC ID: 4688932106
Enrollment ID: O20171211001077 |
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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. Jon Brennan 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 |
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Jon Brennan, R-LCSW
76 Woodland Rd,
Miller Place, NY 11764-1944
Ph: (631) 509-5551 | Jon Brennan, R-LCSW
408 Montauk Hwy,
Center Moriches, NY 11934-3518
Ph: (631) 874-0185 |
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