Mary Elizabeth Gresham, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. She went to Florida State University College Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
3027 San Diego Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 493-7744.
Mary Elizabeth Gresham is licensed to practice in Florida (license number SW19802) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1609335132.
Healthcare Provider's Profile
| Full Name | Mary Elizabeth Gresham |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 3027 San Diego Rd, Jacksonville, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Elizabeth Gresham attended and graduated from Florida State University College Of Medicine in 2015
NPI Data:
- NPI Number: 1609335132
- Provider Enumeration Date: 03/14/2019
- Last Update Date: 03/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183148513
- Enrollment ID: I20250408000467
Medical Identifiers
Medical identifiers for Mary Elizabeth Gresham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609335132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW19802 (Florida) | 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. Mary Elizabeth Gresham allows following entities to bill medicare on her behalf.
| Entity Name | Cancer Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528323268
PECOS PAC ID: 9133377948
Enrollment ID: O20120920000454 |
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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. Mary Elizabeth Gresham 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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Mary Elizabeth Gresham, LCSW
3027 San Diego Rd,
Jacksonville, FL 32207-3691
Ph: (904) 493-7744 | Mary Elizabeth Gresham, LCSW
3027 San Diego Rd,
Jacksonville, FL 32207-3691
Ph: (904) 493-7744 |
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