Miss Leah Blacktop, in East Jordan, MI - Medicare Social Worker Provider

Miss Leah Blacktop, is a medicare enrolled "Social Worker - Clinical" provider in East Jordan, Michigan. Her current practice location is 601 Bridge St, East Jordan, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 536-2206.

Miss Leah Blacktop is licensed to practice in Michigan (license number ) 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 1487317764.

Contact Information

	Miss Leah Blacktop,
	601 Bridge St, East Jordan, MI 49727-9383
	(231) 536-2206
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Leah Blacktop
Gender	Female
Speciality	Social Worker - Clinical
Location	601 Bridge St, East Jordan, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487317764
Provider Enumeration Date: 10/14/2021
Last Update Date: 10/14/2021

Medicare PECOS Information:

PECOS PAC ID: 0840639951
Enrollment ID: I20240422001392

Medical Identifiers

Medical identifiers for Miss Leah Blacktop such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487317764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6851111224 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(Michigan)	Primary

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. Miss Leah Blacktop 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
Miss Leah Blacktop, 601 Bridge St, East Jordan, MI 49727-9383 Ph: (231) 536-2206	Miss Leah Blacktop, 601 Bridge St, East Jordan, MI 49727-9383 Ph: (231) 536-2206

Reviews and Comments

Social Worker in East Jordan, MI

Anna E Burns, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 601 Bridge St., East Jordan, MI 49727 Phone: 231-536-2206 Fax: 231-536-7150
Jessie Rypkowski, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Bridge St, East Jordan, MI 49727 Phone: 231-536-2206
Cynthia Ann Pepin, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2765 S M 66, East Jordan, MI 49727 Phone: 231-881-2108

Miss Leah Blacktop, - Medicare Clinical Social Worker in East Jordan, MI