Mrs Guadalupe Luis, LCSW in St Augustine, FL - Medicare Social Worker Provider

Mrs Guadalupe Luis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in St Augustine, Florida. Her current practice location is 100 Deerfield Preserve Blvd, St Augustine, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 829-0814.

Mrs Guadalupe Luis is licensed to practice in Florida (license number 14105) 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 1588159420.

Contact Information

	Mrs Guadalupe Luis, LCSW
	100 Deerfield Preserve Blvd, St Augustine, FL 32086-5966
	(904) 829-0814
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Guadalupe Luis
Gender	Female
Speciality	Social Worker - Clinical
Location	100 Deerfield Preserve Blvd, St Augustine, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588159420
Provider Enumeration Date: 06/23/2018
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 6305287681
Enrollment ID: I20240517000893

Medical Identifiers

Medical identifiers for Mrs Guadalupe Luis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588159420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	10605-C (Nevada)	Secondary
1041C0700X	Social Worker - Clinical	I.2002029 (Ohio)	Secondary
1041C0700X	Social Worker - Clinical	LCSW-21629 (Arizona)	Secondary
1041C0700X	Social Worker - Clinical	14105 (Florida)	Primary
1041C0700X	Social Worker - Clinical	C015742 (North Carolina)	Secondary

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. Mrs Guadalupe Luis allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230424000147

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. Mrs Guadalupe Luis 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
Mrs Guadalupe Luis, LCSW 6625 Argyle Forest Blvd Ste 4, Jacksonville, FL 32244-6126 Ph: (904) 600-4178	Mrs Guadalupe Luis, LCSW 100 Deerfield Preserve Blvd, St Augustine, FL 32086-5966 Ph: (904) 829-0814

Reviews and Comments

Social Worker in St Augustine, FL

Denise Mershon, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1880 San Sebastian Vw, St Augustine, FL 32084 Phone: 800-539-4228
Mrs. Gwendolen Haydon Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 Kingsley Lake Dr, Suite 702, St Augustine, FL 32092 Phone: 904-716-5619
Mrs. Alyssa A Thaxton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 Plantation Island Dr S Ste 110-120, St Augustine, FL 32080 Phone: 904-824-7733
Mr. Michael John Meehan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9 Saint Johns Medical Pk Dr, St Augustine, FL 32086 Phone: 904-797-2705 Fax: 904-797-2820
Mrs. Vivian Juvan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2120 Us 1 S, Suite 104, St Augustine, FL 32086 Phone: 904-304-5282
Ashton Timmons, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 362 Varella Ave, St Augustine, FL 32084 Phone: 941-544-0240
Mrs. Janet Griswold, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Southpark Blvd, Suite D, St Augustine, FL 32086 Phone: 904-824-7597 Fax: 904-824-7598

Mrs Guadalupe Luis, LCSW - Medicare Clinical Social Worker in St Augustine, FL