Azalia Pettway, LCSWC in Eldersburg, MD - Medicare Social Worker Provider

Azalia Pettway, LCSWC is a medicare enrolled "Social Worker - Clinical" provider in Eldersburg, Maryland. Her current practice location is 1901 Lennox Dr, Eldersburg, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 403-9597.

Azalia Pettway is licensed to practice in Maryland (license number 20296) 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 1669149506.

Contact Information

	Azalia Pettway, LCSWC
	1901 Lennox Dr, Eldersburg, MD 21784-6699
	(443) 403-9597
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Azalia Pettway
Gender	Female
Speciality	Social Worker - Clinical
Location	1901 Lennox Dr, Eldersburg, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669149506
Provider Enumeration Date: 08/27/2021
Last Update Date: 12/14/2021

Medicare PECOS Information:

PECOS PAC ID: 8426448200
Enrollment ID: I20220119001304

Medical Identifiers

Medical identifiers for Azalia Pettway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669149506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C014221 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	20296 (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. Azalia Pettway allows following entities to bill medicare on her behalf.

Entity Name	Thriveworks Clinical - North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669

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: O20221208000188

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. Azalia Pettway 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
Azalia Pettway, LCSWC 6618 Glenville Dr, Whitsett, NC 27377-9141 Ph: (443) 403-9597	Azalia Pettway, LCSWC 1901 Lennox Dr, Eldersburg, MD 21784-6699 Ph: (443) 403-9597

Reviews and Comments

Social Worker in Eldersburg, MD

Mrs. Sandra K Saville, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6190 Georgetown Blvd, Suite 105, Eldersburg, MD 21784 Phone: 410-552-9004 Fax: 410-552-4267
Deanna Scirica, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784 Phone: 443-340-1710
Emily L Angerhofer, LCSWC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784 Phone: 410-552-0773 Fax: 443-200-0267
Kyla Janelle Duhart, LCSWC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784 Phone: 410-356-9208 Fax: 443-200-0267
Jessica P Mott, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784 Phone: 410-356-9200 Fax: 443-200-0267
Jaime L Martin, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5420 Klee Mill Rd S Ste 4, Eldersburg, MD 21784 Phone: 410-746-5868
Judith Roehrs Kunnes, LCSWC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1311 Londontown Blvd Ste 130a, Eldersburg, MD 21784 Phone: 410-552-0773 Fax: 443-200-0267

Azalia Pettway, LCSWC - Medicare Clinical Social Worker in Eldersburg, MD