Montavious Bryant, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake City, Florida. He graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Grow Healthcare Group Pa and his current practice location is
619 S Marion Ave, Lake City, Florida. You can reach out to his office (for appointments etc.) via phone at
(772) 713-4301.
Montavious Bryant is licensed to practice in Florida (license number SW23131) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548621667.
Healthcare Provider's Profile
| Full Name | Montavious Bryant |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 619 S Marion Ave, Lake City, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Montavious Bryant graduated from medical school in 2022
NPI Data:
- NPI Number: 1548621667
- Provider Enumeration Date: 03/17/2016
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698211837
- Enrollment ID: I20240723004545
Medical Identifiers
Medical identifiers for Montavious Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548621667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW23131 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
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. Montavious Bryant allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Montavious Bryant 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 |
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Montavious Bryant, LCSW
4761 Sw County Road 242,
Lake City, FL 32024-4426
Ph: (772) 713-4301 | Montavious Bryant, LCSW
619 S Marion Ave,
Lake City, FL 32025-5808
Ph: (772) 713-4301 |
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