Ms Ivette Lopez Bledsoe, LCSW in Watkinsville, GA - Medicare Social Worker Provider

Ms Ivette Lopez Bledsoe, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Watkinsville, Georgia. Her current practice location is 1360 Caduceus Way Bldg 400, Suite 102, Watkinsville, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 286-8442.

Ms Ivette Lopez Bledsoe is licensed to practice in Georgia (license number CSW005801) 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 1215033212.

Contact Information

	Ms Ivette Lopez Bledsoe, LCSW
	1360 Caduceus Way Bldg 400, Suite 102, Watkinsville, GA 30677-7300
	(706) 286-8442
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Ivette Lopez Bledsoe
Gender	Female
Speciality	Social Worker - Clinical
Location	1360 Caduceus Way Bldg 400, Watkinsville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215033212
Provider Enumeration Date: 09/16/2006
Last Update Date: 09/02/2016

Medicare PECOS Information:

PECOS PAC ID: 8527166313
Enrollment ID: I20170328002552

Medical Identifiers

Medical identifiers for Ms Ivette Lopez Bledsoe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215033212	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	627 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	CSW005801 (Georgia)	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 Ivette Lopez Bledsoe 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: O20220315000829

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 Ivette Lopez Bledsoe 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 Ivette Lopez Bledsoe, LCSW 1341 Arizona Bnd, Watkinsville, GA 30677-7774 Ph: (678) 726-0211	Ms Ivette Lopez Bledsoe, LCSW 1360 Caduceus Way Bldg 400, Suite 102, Watkinsville, GA 30677-7300 Ph: (706) 286-8442

Reviews and Comments

Social Worker in Watkinsville, GA

Molly Williamston Vaughn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 3000b, Watkinsville, GA 30677 Phone: 706-389-4051
Alisa Dawn Stula, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd, Resource Valley Suite 3200 A, Watkinsville, GA 30677 Phone: 706-621-2548
Shea Squier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 1900a, Watkinsville, GA 30677 Phone: 706-705-2571
Ms. Debra Grace Angarola, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1353 Jennings Mill Rd, Suite D, Box11, Watkinsville, GA 30677 Phone: 706-207-7519 Fax: 706-510-2619
Ana Alviz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 1700b, Watkinsville, GA 30677 Phone: 470-355-5200
Ashley Marie Dykes, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd Unit 1700b, Watkinsville, GA 30677 Phone: 404-378-2300
Minou Rysiew, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1551 Jennings Mill Rd Unit 3200a, Resource Valley, Watkinsville, GA 30677 Phone: 706-207-6611

Ms Ivette Lopez Bledsoe, LCSW - Medicare Clinical Social Worker in Watkinsville, GA