Leslie Tackitt, LMSW in Sterling Heights, MI - Medicare Social Worker Provider

Leslie Tackitt, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Sterling Heights, Michigan. His current practice location is 3369 Cherry Creek Ln, Sterling Heights, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 329-9200.

Leslie Tackitt is licensed to practice in Michigan (license number 6801112426) 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 1720706336.

Contact Information

	Leslie Tackitt, LMSW
	3369 Cherry Creek Ln, Sterling Heights, MI 48314-1025
	(586) 329-9200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie Tackitt
Gender	Male
Speciality	Social Worker - Clinical
Location	3369 Cherry Creek Ln, Sterling Heights, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720706336
Provider Enumeration Date: 08/19/2022
Last Update Date: 08/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6002289527
Enrollment ID: I20230303001880

Medical Identifiers

Medical identifiers for Leslie Tackitt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720706336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801112426 (Michigan)	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. Leslie Tackitt allows following entities to bill medicare on his behalf.

Entity Name	County Of Macomb
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040301000018

Entity Name	County Of Macomb
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942532197 PECOS PAC ID: 4880581404 Enrollment ID: O20040308000888

Entity Name	Easter Seals - Michigan, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376526616 PECOS PAC ID: 9830141670 Enrollment ID: O20050221000100

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. Leslie Tackitt 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
Leslie Tackitt, LMSW 3369 Cherry Creek Ln, Sterling Heights, MI 48314-1025 Ph: (586) 329-9200	Leslie Tackitt, LMSW 3369 Cherry Creek Ln, Sterling Heights, MI 48314-1025 Ph: (586) 329-9200

Reviews and Comments

Social Worker in Sterling Heights, MI

Monica Wallace, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 38600 Van Dyke Ave Ste 101, Sterling Heights, MI 48312 Phone: 800-693-1916
Danielle Lewis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8260 Denwood Dr Apt 23, Sterling Heights, MI 48312 Phone: 313-693-0291
Tara Wilford, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43928 Mound Rd, Suite 100, Sterling Heights, MI 48314 Phone: 586-254-5660
Stephanie Falotico, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42850 Schoenherr Rd Ste 4, Sterling Heights, MI 48313 Phone: 586-209-3929
Samantha Halle Margolis, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13213 E 14 Mile Rd, Sterling Heights, MI 48312 Phone: 586-939-4374 Fax: 586-939-4783
Dr. Leona Mickles-burnes, ACSW, PHD., LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2122 15 Mile Rd Ste B, Sterling Heights, MI 48310 Phone: 586-264-3692 Fax: 586-939-5953
Amanda Sciacchitano, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38600 Van Dyke Ave Ste 101, Sterling Heights, MI 48312 Phone: 800-693-1916 Fax: 248-605-3525

Leslie Tackitt, LMSW - Medicare Clinical Social Worker in Sterling Heights, MI