Mr Michael J Mazucci-mambala, LCSW in Brandon, FL - Medicare Social Worker Provider

Mr Michael J Mazucci-mambala, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brandon, Florida. His current practice location is 510 Vonderburg Dr, Suite 301, Brandon, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 881-1000.

Mr Michael J Mazucci-mambala is licensed to practice in Florida (license number SW16647) 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 1013556158.

Contact Information

	Mr Michael J Mazucci-mambala, LCSW
	510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072
	(813) 881-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael J Mazucci-mambala
Gender	Male
Speciality	Social Worker - Clinical
Location	510 Vonderburg Dr, Brandon, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013556158
Provider Enumeration Date: 01/06/2020
Last Update Date: 01/06/2020

Medicare PECOS Information:

PECOS PAC ID: 9335537844
Enrollment ID: I20211102000670

Medical Identifiers

Medical identifiers for Mr Michael J Mazucci-mambala such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013556158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW16647 (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 Michael J Mazucci-mambala allows following entities to bill medicare on his behalf.

Entity Name	Mental Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346224011 PECOS PAC ID: 2769469204 Enrollment ID: O20040702000312

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 Michael J Mazucci-mambala 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 Michael J Mazucci-mambala, LCSW 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 Ph: (813) 881-1000	Mr Michael J Mazucci-mambala, LCSW 510 Vonderburg Dr, Suite 301, Brandon, FL 33511-6072 Ph: (813) 881-1000

Reviews and Comments

Social Worker in Brandon, FL

Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802
Garrett Griffith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1032 E Brandon Blvd # 7553, Brandon, FL 33511 Phone: 850-890-7553

Mr Michael J Mazucci-mambala, LCSW - Medicare Clinical Social Worker in Brandon, FL