Michael Cole Pendergast, MSW, LICSW, ACSW in Charlestown, RI - Medicare Clinical Social Worker Provider

Michael Cole Pendergast, MSW, LICSW, ACSW is a medicare enrolled "Social Worker - Clinical" provider in Charlestown, Rhode Island. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 4705a Old Post Rd, Charlestown, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 364-7705.

Michael Cole Pendergast is licensed to practice in Rhode Island (license number ISW01338) 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 1124181243.

Contact Information

	Michael Cole Pendergast, MSW, LICSW, ACSW
	4705a Old Post Rd, Charlestown, RI 02813-1819
	(401) 364-7705
	Not Available

Healthcare Provider's Profile

Full Name	Michael Cole Pendergast
Gender	Male
Speciality	Clinical Social Worker
Experience	27 Years
Location	4705a Old Post Rd, Charlestown, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Cole Pendergast graduated from medical school in 1997

NPI Data:

NPI Number: 1124181243
Provider Enumeration Date: 12/19/2006
Last Update Date: 08/04/2008

Medicare PECOS Information:

PECOS PAC ID: 3476501941
Enrollment ID: I20050111000763

Medical Identifiers

Medical identifiers for Michael Cole Pendergast such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124181243	NPI	-	NPPES
MP34524	Medicaid	RI
27303-7	Other	RI	BLUE CROSS BLUE SHIELD
408142	Other	RI	BLUE CHIP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	ISW01338 (Rhode Island)	Primary

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 Cole Pendergast 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 Cole Pendergast, MSW, LICSW, ACSW Po Box 899, South Shore Mental Health Center, Charlestown, RI 02813 Ph: (401) 364-7705	Michael Cole Pendergast, MSW, LICSW, ACSW 4705a Old Post Rd, Charlestown, RI 02813-1819 Ph: (401) 364-7705

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Social Worker in Charlestown, RI

Ms. Jacqueline M Robshaw, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 Fax: 401-364-9104
Alexis T Schonrog, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 45b Buckeye Brook Rd, Charlestown, RI 02813 Phone: 401-741-8206 Fax: 866-387-6480
Rebecca Gessow, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4705a Old Post Rd, Charlestown, RI 02813 Phone: 401-364-7705 Fax: 401-364-9104
Mr. Joseph T Wilkinson, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3949 Old Post Rd, Charlestown, RI 02813 Phone: 401-862-7254
Nathaniel Mazza, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4705 Old Post Rd Unit A, Charlestown, RI 02813 Phone: 401-346-7705
Craig Warren Gaspard, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 51 Old Mill Rd, Charlestown, RI 02813 Phone: 401-364-1263 Fax: 401-364-5220

Michael Cole Pendergast, MSW, LICSW, ACSW - Medicare Clinical Social Worker in Charlestown, RI