Melissa Gantz, LCSW in Broken Arrow, OK - Medicare Social Worker Provider

Melissa Gantz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Broken Arrow, Oklahoma. Her current practice location is 102 N Elm Pl Ste N, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 760-8155.

Melissa Gantz is licensed to practice in Oklahoma (license number 2715) 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 1164795803.

Contact Information

	Melissa Gantz, LCSW
	102 N Elm Pl Ste N, Broken Arrow, OK 74012-3883
	(918) 760-8155
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa Gantz
Gender	Female
Speciality	Social Worker - Clinical
Location	102 N Elm Pl Ste N, Broken Arrow, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164795803
Provider Enumeration Date: 02/10/2012
Last Update Date: 04/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4385084094
Enrollment ID: I20240429001984

Medical Identifiers

Medical identifiers for Melissa Gantz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164795803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2715 (Oklahoma)	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. Melissa Gantz allows following entities to bill medicare on her behalf.

Entity Name	Brighter Horizons Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992453609 PECOS PAC ID: 5395185003 Enrollment ID: O20240429001912

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. Melissa Gantz 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
Melissa Gantz, LCSW 2928 N Fern Ct, Broken Arrow, OK 74012-0834 Ph: (918) 760-8155	Melissa Gantz, LCSW 102 N Elm Pl Ste N, Broken Arrow, OK 74012-3883 Ph: (918) 760-8155

Reviews and Comments

Social Worker in Broken Arrow, OK

Emerald Green, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2548 E Kenosha St, Broken Arrow, OK 74014 Phone: 916-355-0993
Ms. Sandra Ruth Sanford, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 840 S Aspen Ave, Ste E, Broken Arrow, OK 74012 Phone: 918-814-4451
Tracey Middleton Jennings, MSW, LCSW, LADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8937 S Garnett Rd, Broken Arrow, OK 74012 Phone: 918-872-9777 Fax: 918-872-9779
Herbert Lomax Jr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7312 S Garnett Rd Apt 316, Broken Arrow, OK 74012 Phone: 434-404-6357
Justin Brown, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 E Freeport St, Broken Arrow, OK 74012 Phone: 918-815-9866
Jessica Roberson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 N Elm Pl Ste N, Broken Arrow, OK 74012 Phone: 918-869-0550

Melissa Gantz, LCSW - Medicare Clinical Social Worker in Broken Arrow, OK