Olivia Blackman, in Zephyrhills, FL - Medicare Social Worker Provider

Olivia Blackman, is a medicare enrolled "Social Worker - Clinical" provider in Zephyrhills, Florida. Her current practice location is 6192 Pina Colada St, Zephyrhills, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 403-4954.

Olivia Blackman is licensed to practice in Florida (license number SW23335) 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 1750175089.

Contact Information

	Olivia Blackman,
	6192 Pina Colada St, Zephyrhills, FL 33542-2541
	(813) 403-4954
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Olivia Blackman
Gender	Female
Speciality	Social Worker - Clinical
Location	6192 Pina Colada St, Zephyrhills, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750175089
Provider Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025

Medicare PECOS Information:

PECOS PAC ID: 3678099538
Enrollment ID: I20250424000631

Medical Identifiers

Medical identifiers for Olivia Blackman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750175089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW23335 (Florida)	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. Olivia Blackman 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: O20210414000053

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. Olivia Blackman 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
Olivia Blackman, 6192 Pina Colada St, Zephyrhills, FL 33542-2541 Ph: (813) 403-4954	Olivia Blackman, 6192 Pina Colada St, Zephyrhills, FL 33542-2541 Ph: (813) 403-4954

Reviews and Comments

Social Worker in Zephyrhills, FL

Jakayla Miller, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4034 Gall Blvd, Zephyrhills, FL 33542 Phone: 407-495-0445
Janice R Stenson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5201 Counselor Dr Unit 303, Zephyrhills, FL 33541 Phone: 216-926-1961
Jacqueline Lizarazo, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 37840 Medical Arts Ct, Zephyrhills, FL 33541 Phone: 352-518-2000
Jessica Marie Hinchman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38644 Granger Ln, Zephyrhills, FL 33542 Phone: 813-469-9371
Teri Leigh Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39031 County Road 54 Bldg 2, Zephyrhills, FL 33542 Phone: 813-713-9402
Brenda Lopez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38044 Daughtery Rd, Zephyrhills, FL 33540 Phone: 813-713-6499 Fax: 877-544-7007
Denise Lee, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 37840 Medical Arts Ct, Zephyrhills, FL 33541 Phone: 352-518-2000

Olivia Blackman, - Medicare Clinical Social Worker in Zephyrhills, FL