Michelle Back, LCSW-C in Laplata, MD - Medicare Social Worker Provider

Michelle Back, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Laplata, Maryland. Her current practice location is 6100 Radio Station Road, Laplata, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 609-9887.

Michelle Back is licensed to practice in Maryland (license number 13796) 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 1134333107.

Contact Information

	Michelle Back, LCSW-C
	6100 Radio Station Road, Laplata, MD 20646
	(301) 609-9887
	(301) 609-7284

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Back
Gender	Female
Speciality	Social Worker - Clinical
Location	6100 Radio Station Road, Laplata, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134333107
Provider Enumeration Date: 05/09/2007
Last Update Date: 10/24/2016

Medicare PECOS Information:

PECOS PAC ID: 3173676699
Enrollment ID: I20090731000288

Medical Identifiers

Medical identifiers for Michelle Back such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134333107	NPI	-	NPPES
417227200	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13796 (Maryland)	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. Michelle Back allows following entities to bill medicare on her behalf.

Entity Name	Andrew T Gergely, Md & Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033134341 PECOS PAC ID: 1456323237 Enrollment ID: O20040811001043

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. Michelle Back 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
Michelle Back, LCSW-C 3175 W Ward Rd, 200, Dunkirk, MD 20754-3020 Ph: (410) 286-0664	Michelle Back, LCSW-C 6100 Radio Station Road, Laplata, MD 20646 Ph: (301) 609-9887

Reviews and Comments

Social Worker in Laplata, MD

Laurie D Gamble, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Radio Station Road, Laplata, MD 20646 Phone: 301-609-9887 Fax: 301-609-7284
Joan Bishop Smith, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Radio Station Road, Laplata, MD 20646 Phone: 301-609-9887 Fax: 301-609-7284
Markeeta Dixon, LGSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Radio Station Road, Laplata, MD 20646 Phone: 301-609-9887 Fax: 301-609-7284
Mindy Krupp, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6100 Radio Station Road, Laplata, MD 20646 Phone: 301-609-9887 Fax: 301-609-7284

Michelle Back, LCSW-C - Medicare Clinical Social Worker in Laplata, MD