Mr Fred Sacklow, LCSW in Jacksonville, FL - Medicare Clinical Social Worker Provider

Mr Fred Sacklow, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. He graduated from medical school in 1980 and has 45 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Gauler And Associates, Pllc and his current practice location is 6950 Philips Hwy Ste 11, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 239-3677.

Mr Fred Sacklow is licensed to practice in Florida (license number SW14596) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619968716.

Contact Information

	Mr Fred Sacklow, LCSW
	6950 Philips Hwy Ste 11, Jacksonville, FL 32216
	(904) 239-3677
	(904) 866-4029

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Fred Sacklow
Gender	Male
Speciality	Clinical Social Worker
Experience	45 Years
Location	6950 Philips Hwy Ste 11, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Fred Sacklow graduated from medical school in 1980

NPI Data:

NPI Number: 1619968716
Provider Enumeration Date: 10/30/2005
Last Update Date: 06/20/2018

Medicare PECOS Information:

PECOS PAC ID: 4981861002
Enrollment ID: I20180530003159

Medical Identifiers

Medical identifiers for Mr Fred Sacklow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619968716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	R02529-1 (New York)	Secondary
1041C0700X	Social Worker - Clinical	SW14596 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gauler And Associates, Pllc	6901046945	7

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. Mr Fred Sacklow allows following entities to bill medicare on his behalf.

Entity Name	Gauler & Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730405002 PECOS PAC ID: 6901046945 Enrollment ID: O20130715000753

Entity Name	Refresh Canopy Cove, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354

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. Mr Fred Sacklow 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
Mr Fred Sacklow, LCSW 6950 Philips Hwy Ste 11, Jacksonville, FL 32216-6082 Ph: (904) 239-3677	Mr Fred Sacklow, LCSW 6950 Philips Hwy Ste 11, Jacksonville, FL 32216 Ph: (904) 239-3677

Reviews and Comments

Social Worker in Jacksonville, FL

Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773

Mr Fred Sacklow, LCSW - Medicare Clinical Social Worker in Jacksonville, FL