Mrs Laura M Blackwell, LISW in Sylvania, OH - Medicare Social Worker Provider

Mrs Laura M Blackwell, LISW is a medicare enrolled "Social Worker - Clinical" provider in Sylvania, Ohio. Her current practice location is 4930 N Holland Sylvania Rd Ste E, Sylvania, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 973-7029.

Mrs Laura M Blackwell is licensed to practice in Ohio (license number I-0007485) 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 1407804842.

Contact Information

	Mrs Laura M Blackwell, LISW
	4930 N Holland Sylvania Rd Ste E, Sylvania, OH 43560
	(419) 973-7029
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Laura M Blackwell
Gender	Female
Speciality	Social Worker - Clinical
Location	4930 N Holland Sylvania Rd Ste E, Sylvania, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407804842
Provider Enumeration Date: 05/05/2006
Last Update Date: 08/27/2018

Medicare PECOS Information:

PECOS PAC ID: 1658309281
Enrollment ID: I20050803000744

Medical Identifiers

Medical identifiers for Mrs Laura M Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407804842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I-0007485 (Ohio)	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. Mrs Laura M Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Diana L Theiss
Entity Type	Practitioner - Clinical Social Worker
Entity Identifiers	NPI Number: 1265722813 PECOS PAC ID: 1557522141 Enrollment ID: I20120406000390

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 Laura M Blackwell 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 Laura M Blackwell, LISW Po Box 60413, Rossford, OH 43460-0413 Ph: (419) 973-7029	Mrs Laura M Blackwell, LISW 4930 N Holland Sylvania Rd Ste E, Sylvania, OH 43560 Ph: (419) 973-7029

Reviews and Comments

Social Worker in Sylvania, OH

Ms. Amy L Boggs, L.I.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5151 Main St, Sylvania, OH 43560 Phone: 419-882-5000
Jennifer Ann Reed, LMSW, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 567-288-7825
Mrs. Julie Vierling, L.M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-291-7749 Fax: 419-824-7359
Miss Keri Lynn Kiefer, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5855 Monroe St, Sylvania, OH 43560 Phone: 419-291-2273 Fax: 419-885-9084
Lauren Unverferth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5800 Monroe St Ste H2, Sylvania, OH 43560 Phone: 419-343-7737
Rose A. Cousino, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5808 Monroe St, Suite A2, Sylvania, OH 43560 Phone: 419-345-7579
Nicole Corl, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5800 Monroe St Ste A1, Sylvania, OH 43560 Phone: 419-517-7073 Fax: 419-517-0122

Mrs Laura M Blackwell, LISW - Medicare Clinical Social Worker in Sylvania, OH