Mr Dale Ashby Elzie, LCSW in Gainesville, FL - Medicare Social Worker Provider

Mr Dale Ashby Elzie, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gainesville, Florida. His current practice location is 6420 W Newberry Rd Ste 100, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 332-3900.

Mr Dale Ashby Elzie is licensed to practice in Florida (license number 9003) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245332188.

Contact Information

	Mr Dale Ashby Elzie, LCSW
	6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622
	(352) 332-3900
	(352) 332-5009

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dale Ashby Elzie
Gender	Male
Speciality	Social Worker - Clinical
Location	6420 W Newberry Rd Ste 100, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245332188
Provider Enumeration Date: 09/01/2006
Last Update Date: 03/13/2020

Medicare PECOS Information:

PECOS PAC ID: 3375899404
Enrollment ID: I20180703002140

Medical Identifiers

Medical identifiers for Mr Dale Ashby Elzie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245332188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW003365 (Georgia)	Secondary
1041C0700X	Social Worker - Clinical	9003 (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. Mr Dale Ashby Elzie allows following entities to bill medicare on his behalf.

Entity Name	Phoebe Putney Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397

Entity Name	Phoebe Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583

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. Mr Dale Ashby Elzie 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
Mr Dale Ashby Elzie, LCSW 4371 Veronica S Shoemaker Blvd, Attn Credentialing, Fort Myers, FL 33916-2216 Ph: (239) 274-8200	Mr Dale Ashby Elzie, LCSW 6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 Ph: (352) 332-3900

Reviews and Comments

Social Worker in Gainesville, FL

Mrs. Joanne Block, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4131 Nw 28th Ln, Suite 6, Gainesville, FL 32606 Phone: 352-375-3001 Fax: 352-375-1003
Ms. Cathy Jeanne Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611
Charnette Merritt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 Sw 13th St, Gainesville, FL 32608 Phone: 352-374-5600 Fax: 352-374-5608
Jakira L Harris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-376-1611
Amanda Cruce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3031 Nw 161st Ct, Gainesville, FL 32609 Phone: 352-214-6300
Thomas W Brady, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-293-6612
Sarah Lynn Bushnell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9200 Nw 39th Ave Ste 130-3088, Gainesville, FL 32606 Phone: 352-316-7723

Mr Dale Ashby Elzie, LCSW - Medicare Clinical Social Worker in Gainesville, FL