Mr Eli Michael, LCSW, CDC1 is a medicare enrolled "Social Worker - Clinical" provider in Anchorage, Alaska. His current practice location is
821 N St Ste 102, Anchorage, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 268-4234.
Mr Eli Michael is licensed to practice in Alaska (license number 172440) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073009379.
Healthcare Provider's Profile
| Full Name | Mr Eli Michael |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 821 N St Ste 102, Anchorage, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073009379
- Provider Enumeration Date: 07/10/2018
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 6901296250
- Enrollment ID: I20211201001469
Medical Identifiers
Medical identifiers for Mr Eli Michael such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073009379 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 4582 (Alaska) | Secondary |
| 104100000X | Social Worker | (Alaska) | Secondary |
| 1041C0700X | Social Worker - Clinical | 172440 (Alaska) | 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. Mr Eli Michael allows following entities to bill medicare on his behalf.
| Entity Name | Fairbanks Community Mental Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023445871
PECOS PAC ID: 6406085562
Enrollment ID: O20140212001626 |
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| Entity Name | Thriving Within Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174231518
PECOS PAC ID: 6406217058
Enrollment ID: O20230731001524 |
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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. Mr Eli Michael 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 |
|---|
Mr Eli Michael, LCSW, CDC1
3300 Arctic Blvd, Ste 201 Pmb 1043,
Anchorage, AK 99503-4579
Ph: (907) 268-4234 | Mr Eli Michael, LCSW, CDC1
821 N St Ste 102,
Anchorage, AK 99501-3285
Ph: (907) 268-4234 |
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