Gabrielle Kelly Blankenship, LCSW in Tyndall Afb, FL

Gabrielle Kelly Blankenship, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tyndall Afb, Florida. Her current practice location is 325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 283-7051.

Gabrielle Kelly Blankenship is licensed to practice in Florida (license number SW0004572) 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 1548251465.

Contact Information

	Gabrielle Kelly Blankenship, LCSW
	325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403
	(850) 283-7051
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gabrielle Kelly Blankenship
Gender	Female
Speciality	Social Worker - Clinical
Location	325 Mdg, 340 Magnolia Circle, Tyndall Afb, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548251465
Provider Enumeration Date: 10/31/2005
Last Update Date: 06/21/2019

Medicare PECOS Information:

PECOS PAC ID: 3678765484
Enrollment ID: I20101012001154

Medical Identifiers

Medical identifiers for Gabrielle Kelly Blankenship such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548251465	NPI	-	NPPES
758997200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW0004572 (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. Gabrielle Kelly Blankenship allows following entities to bill medicare on her behalf.

Entity Name	Life Management Center Of Northwest Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508854571 PECOS PAC ID: 9739162371 Enrollment ID: O20040612000387

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. Gabrielle Kelly Blankenship 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
Gabrielle Kelly Blankenship, LCSW 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403-5604 Ph: (850) 283-7051	Gabrielle Kelly Blankenship, LCSW 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Ph: (850) 283-7051

Reviews and Comments

Social Worker in Tyndall Afb, FL

Melissa Brooks Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7090
Dr. Walter Edward Calvo, DCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 Phone: 850-238-7511 Fax: 850-283-7721
Ms. Xhosa R Burford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7370 Fax: 850-283-7500
Jae J. Pate, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Circle, 325 Mdos/sgohsf, Tyndall Afb, FL 32404 Phone: 850-283-7511 Fax: 850-283-7721
Mrs. Delia Maria Mcglocklin, LCSW, LCAC, CADAC IV Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 Florida Ave, Tyndall Afb, FL 32403 Phone: 850-282-8241
Andrea C Bright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 Phone: 850-283-7511
Ms. Heather Danielle Bautista, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Magnolia Cir, Tyndall Afb, FL 32403 Phone: 850-283-7511

Gabrielle Kelly Blankenship, LCSW - Medicare Clinical Social Worker in Tyndall Afb, FL