Ciara Nicole Blake, LISW in Moraine, OH - Medicare Social Worker Provider

Ciara Nicole Blake, LISW is a medicare enrolled "Social Worker - Clinical" provider in Moraine, Ohio. Her current practice location is 3095 Kettering Blvd, Moraine, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 293-8300.

Ciara Nicole Blake is licensed to practice in Ohio (license number I.2002490) 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 1215413968.

Contact Information

	Ciara Nicole Blake, LISW
	3095 Kettering Blvd, Moraine, OH 45439-1983
	(937) 293-8300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ciara Nicole Blake
Gender	Female
Speciality	Social Worker - Clinical
Location	3095 Kettering Blvd, Moraine, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215413968
Provider Enumeration Date: 07/16/2018
Last Update Date: 09/17/2021

Medicare PECOS Information:

PECOS PAC ID: 9436562626
Enrollment ID: I20210107001044

Medical Identifiers

Medical identifiers for Ciara Nicole Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215413968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.2002490 (Ohio)	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. Ciara Nicole Blake allows following entities to bill medicare on her behalf.

Entity Name	South Community Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427289818 PECOS PAC ID: 7315971066 Enrollment ID: O20050921001092

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. Ciara Nicole Blake 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
Ciara Nicole Blake, LISW 540 Little York Rd, Dayton, OH 45414-1332 Ph: (937) 271-5020	Ciara Nicole Blake, LISW 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300

Reviews and Comments

Social Worker in Moraine, OH

Elizabeth Liapis, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347
Emily Nicole Broad, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Pamela Bailey, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Dawn Marie Dickman, SWT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481
Jarhal Duncan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347
Mrs. Ashley Diane Leblanc, MSW/LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300

Ciara Nicole Blake, LISW - Medicare Clinical Social Worker in Moraine, OH