Ann Marie Blacktop, LMSW in Hart, MI - Medicare Social Worker Provider

Ann Marie Blacktop, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Hart, Michigan. Her current practice location is 611 E Main St, Hart, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 873-5675.

Ann Marie Blacktop is licensed to practice in Michigan (license number AB033570) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689605230.

Contact Information

	Ann Marie Blacktop, LMSW
	611 E Main St, Hart, MI 49420-1190
	(231) 873-5675
	(231) 873-4805

Map and Direction

Healthcare Provider's Profile

Full Name	Ann Marie Blacktop
Gender	Female
Speciality	Social Worker - Clinical
Location	611 E Main St, Hart, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689605230
Provider Enumeration Date: 07/05/2006
Last Update Date: 05/22/2009

Medicare PECOS Information:

PECOS PAC ID: 8820173610
Enrollment ID: I20080304000285

Medical Identifiers

Medical identifiers for Ann Marie Blacktop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689605230	NPI	-	NPPES
800F410320	Other	MI	BCBSMI
383119096	Other	MI	TAX ID
8008974220	Other	MI	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	AB033570 (Michigan)	Primary

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. Ann Marie Blacktop allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839

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. Ann Marie Blacktop 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
Ann Marie Blacktop, LMSW 611 E Main St, Hart, MI 49420-1190 Ph: (231) 873-5675	Ann Marie Blacktop, LMSW 611 E Main St, Hart, MI 49420-1190 Ph: (231) 873-5675

Reviews and Comments

Social Worker in Hart, MI

James Mccann, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2481 N 72nd Ave, Hart, MI 49420 Phone: 231-873-2163
Mrs. Jesse Marie Burke, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 W Johnson Street, Hart, MI 49420 Phone: 231-873-0586 Fax: 616-554-5555
Janelle Donjon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 E Main St, Hart, MI 49420 Phone: 231-873-6900

Ann Marie Blacktop, LMSW - Medicare Clinical Social Worker in Hart, MI