Mr Scott Thomas Bleakley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Celebration, Florida. His current practice location is
1530 Celebration Blvd Ste 405, Celebration, Florida. You can reach out to his office (for appointments etc.) via phone at
(833) 769-3524.
Mr Scott Thomas Bleakley is licensed to practice in Florida (license number SW21441) 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 1013072008.
Healthcare Provider's Profile
| Full Name | Mr Scott Thomas Bleakley |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1530 Celebration Blvd Ste 405, Celebration, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1013072008
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 07/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183616816
- Enrollment ID: I20230822002514
Medical Identifiers
Medical identifiers for Mr Scott Thomas Bleakley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013072008 | NPI | - | NPPES |
| 30423171 | Medicaid | NH | |
| P08033 | Other | MA | BCBS |
| 144001431NH02 | Other | NH | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1071 (New Hampshire) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW21441 (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 Scott Thomas Bleakley allows following entities to bill medicare on his behalf.
| Entity Name | Personal Recovery Network Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20200416000590 |
|---|
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 Scott Thomas Bleakley 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 Scott Thomas Bleakley, LCSW
160 Lafayette Rd Apt 1,
North Hampton, NH 03862-2420
Ph: (603) 370-0168 | Mr Scott Thomas Bleakley, LCSW
1530 Celebration Blvd Ste 405,
Celebration, FL 34747-5165
Ph: (833) 769-3524 |
Reviews and Comments