Frederick Woodbridge Potter, MA in Tampa, FL - Medicare Social Worker Provider

Frederick Woodbridge Potter, MA is a medicare enrolled "Social Worker - Clinical" provider in Tampa, Florida. His current practice location is 4612 N 56th St, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 753-9246.

Frederick Woodbridge Potter is licensed to practice in * (Not Available) (license number ) 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 1174659726.

Contact Information

	Frederick Woodbridge Potter, MA
	4612 N 56th St, Tampa, FL 33610-7123
	(813) 753-9246
	(866) 760-6190

Map and Direction

Healthcare Provider's Profile

Full Name	Frederick Woodbridge Potter
Gender	Male
Speciality	Social Worker - Clinical
Location	4612 N 56th St, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174659726
Provider Enumeration Date: 02/26/2007
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4183072531
Enrollment ID: I20231127001596

Medical Identifiers

Medical identifiers for Frederick Woodbridge Potter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174659726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Frederick Woodbridge Potter allows following entities to bill medicare on his behalf.

Entity Name	Thriveworks Clinical - Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675

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. Frederick Woodbridge Potter 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
Frederick Woodbridge Potter, MA 4612 N 56th St, Tampa, FL 33610-7123 Ph: (813) 753-9246	Frederick Woodbridge Potter, MA 4612 N 56th St, Tampa, FL 33610-7123 Ph: (813) 753-9246

Reviews and Comments

Social Worker in Tampa, FL

Darlene H Allen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-239-8000 Fax: 813-272-3766
Bryant C Barbour, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr., Tampa, FL 33605 Phone: 813-384-4079
Ms. Clarissia Brown, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2021 Busch Blvd, Tampa, FL 33612 Phone: 813-631-4370 Fax: 813-631-4399
Sasha J Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 N Gomez Ave, Tampa, FL 33609 Phone: 813-787-1623
Jennifer Faith Gobeli, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8905 Regents Park Dr Ste 230, Tampa, FL 33647 Phone: 727-314-5468
Ms. Linda L Mann, LCSW, CAP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4422 E Columbus Dr, Tampa, FL 33605 Phone: 813-980-3866 Fax: 813-984-8374
Amy Lynn Abdnour, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 S Hoover Blvd Ste 185, Tampa, FL 33609 Phone: 813-679-3845

Frederick Woodbridge Potter, MA - Medicare Clinical Social Worker in Tampa, FL