Carol Bender, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Jacksonville, Florida. Her current practice location is
8540 Baycenter Rd, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 448-1933.
Carol Bender is licensed to practice in Florida (license number SW16319) 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 1225585821.
Healthcare Provider's Profile
Full Name | Carol Bender |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 8540 Baycenter Rd, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225585821
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 06/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365870458
- Enrollment ID: I20200324002497
Medical Identifiers
Medical identifiers for Carol Bender such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225585821 | NPI | - | NPPES |
110296800 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW16319 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | SW16319 (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. Carol Bender allows following entities to bill medicare on her behalf.
Entity Name | Jewish Family & Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538255088 PECOS PAC ID: 4486644986 Enrollment ID: O20040517000386 |
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Entity Name | Refresh Canopy Cove, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354 |
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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. Carol Bender 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 |
Carol Bender, LCSW 8540 Baycenter Rd, Jacksonville, FL 32256-7420 Ph: (904) 448-1933 | Carol Bender, LCSW 8540 Baycenter Rd, Jacksonville, FL 32256-7420 Ph: (904) 448-1933 |
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