Mr Herbert Taylor Tisdale Iii, SOCIAL WORKER in Ruskin, FL

Mr Herbert Taylor Tisdale Iii, SOCIAL WORKER is a medicare enrolled "Social Worker - Clinical" provider in Ruskin, Florida. His current practice location is 2814 14th Ave Se, Ruskin, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 653-6100.

Mr Herbert Taylor Tisdale Iii is licensed to practice in Florida (license number SW20228) 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 1306559380.

Contact Information

	Mr Herbert Taylor Tisdale Iii, SOCIAL WORKER
	2814 14th Ave Se, Ruskin, FL 33570-5471
	(813) 653-6100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Herbert Taylor Tisdale Iii
Gender	Male
Speciality	Social Worker - Clinical
Location	2814 14th Ave Se, Ruskin, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306559380
Provider Enumeration Date: 01/04/2023
Last Update Date: 01/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5496128878
Enrollment ID: I20230306001693

Medical Identifiers

Medical identifiers for Mr Herbert Taylor Tisdale Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306559380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW20228 (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. Mr Herbert Taylor Tisdale Iii allows following entities to bill medicare on his behalf.

Entity Name	Suncoast Community Health Centers, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285644799 PECOS PAC ID: 3870402548 Enrollment ID: O20040107000797

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 Herbert Taylor Tisdale Iii 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 Herbert Taylor Tisdale Iii, SOCIAL WORKER 7609 Paradiso Dr, Apollo Beach, FL 33572-1644 Ph: (251) 455-4745	Mr Herbert Taylor Tisdale Iii, SOCIAL WORKER 2814 14th Ave Se, Ruskin, FL 33570-5471 Ph: (813) 653-6100

Reviews and Comments

Social Worker in Ruskin, FL

Ada L Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1509 Alhambra Crest Dr, Ruskin, FL 33570 Phone: 813-416-6584
Tami Robinson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2258 Golden Falcon Dr, Ruskin, FL 33570 Phone: 813-766-9313
Alexis Iona Haynes, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 507 15th Ave Nw, Ruskin, FL 33570 Phone: 301-356-3382
Mrs. Claudia Jane Dodrill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2407 Pier Dr, Ruskin, FL 33570 Phone: 813-641-0949
Tanya Jeanne Johnson-gilchrist, LCSW, MSW, MPH, CPH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 323 Vine Cliff St, Ruskin, FL 33570 Phone: 813-609-2655 Fax: 813-381-3909
Ms. Racquel Nicola Findlay, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 505 Delwood Breck St, Ruskin, FL 33570 Phone: 813-421-4876 Fax: 813-419-4502

Mr Herbert Taylor Tisdale Iii, SOCIAL WORKER - Medicare Clinical Social Worker in Ruskin, FL