Case Management In Lawrence Massachusetts

NPI list of 6 case management registered providers with a business address in Lawrence, MA of which 4 are registered as organizations and 2 as individuals. An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

NPI Name Type Taxonomy Address Medicare PECOS
1043337231COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF MENTAL HEALTH - ESSEX NORTH AREA OFFICE
OrganizationCase Management15 UNION ST SUITE 2
LAWRENCE, MA 01840
(978) 738-4500
Non-Participating ProviderNO
1497270953BIENVENIDO DE JESUS ESTEVEZIndividualCase Management12 METHUEN ST FL 3
LAWRENCE, MA 01840
(978) 683-3128
Non-Participating ProviderNO
1518219195ELIZABETH DELACRUZIndividualCase Management360 MERRIMACK STREET BUILDING 9- ENTRANCE J ,3RD FLOOR
LAWRENCE, MA 01843
(978) 687-1617
Non-Participating ProviderNO
1619007630ELDER SERVICES OFTHE MERRIMACK VALLEY, INC.OrganizationCase Management280 MERRIMACK ST SUITE 400
LAWRENCE, MA 01843
(978) 683-7747
Non-Participating ProviderNO
1790344711ELDER SERVICES OF THE MERRIMACK VALLEY, INC.OrganizationCase Management280 MERRIMACK ST STE 400
LAWRENCE, MA 01843
(800) 892-0890
Non-Participating ProviderNO
1992819411FCP, INCOrganizationCase Management360 MERRIMACK ST BUILDING 9 3RD FLOOR
LAWRENCE, MA 01843
(978) 620-2502
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.