Mr Jessie Humphries, LCSW in Brandon, FL - Medicare Social Worker Provider

Mr Jessie Humphries, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brandon, Florida. His current practice location is 1215 Tuxford Dr, Brandon, Florida. You can reach out to his office (for appointments etc.) via phone at (256) 200-1531.

Mr Jessie Humphries is licensed to practice in Florida (license number SW22969) 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 1891536272.

Contact Information

	Mr Jessie Humphries, LCSW
	1215 Tuxford Dr, Brandon, FL 33511-1802
	(256) 200-1531
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jessie Humphries
Gender	Male
Speciality	Social Worker - Clinical
Location	1215 Tuxford Dr, Brandon, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891536272
Provider Enumeration Date: 06/01/2024
Last Update Date: 06/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5991248312
Enrollment ID: I20240613002692

Medical Identifiers

Medical identifiers for Mr Jessie Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891536272	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW22969 (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 Jessie Humphries allows following entities to bill medicare on his behalf.

Entity Name	Learning To Achieve Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033849575 PECOS PAC ID: 9234514464 Enrollment ID: O20220923001265

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 Jessie Humphries 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 Jessie Humphries, LCSW 1215 Tuxford Dr, Brandon, FL 33511-1802 Ph: (256) 200-1531	Mr Jessie Humphries, LCSW 1215 Tuxford Dr, Brandon, FL 33511-1802 Ph: (256) 200-1531

Reviews and Comments

Social Worker in Brandon, FL

Kelsey Paterson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828
Mr. Michael J Mazucci-mambala, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 510 Vonderburg Dr, Suite 301, Brandon, FL 33511 Phone: 813-881-1000
Ms. Cynthia Anne Fletcher, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 413 Ashford Dr, Brandon, FL 33511 Phone: 813-662-3441
Michelle Ramirez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828
Karen Seales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1419 Lake Lucerne Way, Brandon, FL 33511 Phone: 813-219-4551
Brittany Wilson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Lithia Pinecrest Rd, Brandon, FL 33511 Phone: 813-689-8828 Fax: 813-689-8802
Jessie A Shaw, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 N Oakwood Ave, Brandon, FL 33510 Phone: 813-819-8704

Mr Jessie Humphries, LCSW - Medicare Clinical Social Worker in Brandon, FL