Mr Scott Thomas Bleakley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Celebration, Florida. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Personal Recovery Network Llc and his current practice location is
1530 Celebration Blvd Ste 405, Celebration, Florida. You can reach out to his office (for appointments etc.) via phone at
(833) 769-3524.
Mr Scott Thomas Bleakley is licensed to practice in Florida (license number SW21441) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013072008.
Healthcare Provider's Profile
| Full Name | Mr Scott Thomas Bleakley |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 1530 Celebration Blvd Ste 405, Celebration, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Scott Thomas Bleakley graduated from medical school in 1999
NPI Data:
- NPI Number: 1013072008
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 07/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183616816
- Enrollment ID: I20230822002514
Medical Identifiers
Medical identifiers for Mr Scott Thomas Bleakley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013072008 | NPI | - | NPPES |
| 30423171 | Medicaid | NH | |
| P08033 | Other | MA | BCBS |
| 144001431NH02 | Other | NH | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1071 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW21441 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Personal Recovery Network Llc | 5092611384 | 453 |
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 Scott Thomas Bleakley allows following entities to bill medicare on his behalf.
| Entity Name | Personal Recovery Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20200416000590 |
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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. Mr Scott Thomas Bleakley 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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Mr Scott Thomas Bleakley, LCSW
160 Lafayette Rd Apt 1,
North Hampton, NH 03862-2420
Ph: (603) 370-0168 | Mr Scott Thomas Bleakley, LCSW
1530 Celebration Blvd Ste 405,
Celebration, FL 34747-5165
Ph: (833) 769-3524 |
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