Ms Angela Monica Blake, LCSWC in Salisbury, MD - Medicare Social Worker Provider

Ms Angela Monica Blake, LCSWC is a medicare enrolled "Social Worker - Clinical" provider in Salisbury, Maryland. Her current practice location is 106 Milford St, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 783-0624.

Ms Angela Monica Blake is licensed to practice in Maryland (license number 13147) 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 1891882577.

Contact Information

	Ms Angela Monica Blake, LCSWC
	106 Milford St, Salisbury, MD 21804-6953
	(443) 783-0624
	(443) 783-0624

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Angela Monica Blake
Gender	Female
Speciality	Social Worker - Clinical
Location	106 Milford St, Salisbury, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891882577
Provider Enumeration Date: 10/06/2006
Last Update Date: 02/12/2016

Medicare PECOS Information:

PECOS PAC ID: 2264535244
Enrollment ID: I20070312000507

Medical Identifiers

Medical identifiers for Ms Angela Monica Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891882577	NPI	-	NPPES
100103635	Other	MD	AMERICAN PSYCH SYSTEM
600014-351	Other	MD	MAGELLAN BEHAVIORAL HEALT
609550001	Medicaid	MD
LM49EA	Other	MD	CAREFIRST BCBS GROUP
384856	Other	MD	MANAGED HEALTH NETWORK
517251	Other		UHC MAMSI
724338	Other		NCPPO PIN
R968	Other		CAREFIRST FEDERAL GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13147 (Maryland)	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. Ms Angela Monica Blake allows following entities to bill medicare on her behalf.

Entity Name	Personal Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093050890 PECOS PAC ID: 7315184777 Enrollment ID: O20130503000021

Entity Name	Balanced Life Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770084535 PECOS PAC ID: 4688937717 Enrollment ID: O20180424001029

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. Ms Angela Monica Blake 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
Ms Angela Monica Blake, LCSWC 106 Milford St, Salisbury, MD 21804-6953 Ph: (410) 742-6016	Ms Angela Monica Blake, LCSWC 106 Milford St, Salisbury, MD 21804-6953 Ph: (443) 783-0624

Reviews and Comments

Social Worker in Salisbury, MD

Mr. Mark Stephen Simulis, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1104 Healthway Dr, Salisbury, MD 21804 Phone: 410-219-5483 Fax: 410-219-5486
Connie G Polovina, LCSW- C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 270 Tilghman Rd, Salisbury, MD 21804 Phone: 410-845-1645
Farah Vangenderen, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31413 Winterplace Pkwy Ste 102, Salisbury, MD 21804 Phone: 410-742-3055 Fax: 443-944-0095
Jeffrey J Byrne, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1003 Bayshore Ct, Salisbury, MD 21804 Phone: 443-614-8777
Penny Sue Walters, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26916 Siloam Rd, Salisbury, MD 21801 Phone: 410-603-2807
Mrs. Kirsten Allen Culler, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 W Main St, Suite E, Salisbury, MD 21801 Phone: 443-736-4114 Fax: 443-736-7982
Ms. Sharon Lynn Janssen, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 560 Riverside Dr Ste A204, Salisbury, MD 21801 Phone: 443-358-6193 Fax: 443-358-6197

Ms Angela Monica Blake, LCSWC - Medicare Clinical Social Worker in Salisbury, MD