Mrs Dominique Simone Reyes, LCSW in Lakeland, FL - Medicare Social Worker Provider

Mrs Dominique Simone Reyes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lakeland, Florida. Her current practice location is 2120 Airport Rd, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at (877) 358-2998.

Mrs Dominique Simone Reyes is licensed to practice in Florida (license number SW20741) 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 1447899703.

Contact Information

	Mrs Dominique Simone Reyes, LCSW
	2120 Airport Rd, Lakeland, FL 33811-1021
	(877) 358-2998
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dominique Simone Reyes
Gender	Female
Speciality	Social Worker - Clinical
Location	2120 Airport Rd, Lakeland, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447899703
Provider Enumeration Date: 01/03/2020
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5294198438
Enrollment ID: I20230905004117

Medical Identifiers

Medical identifiers for Mrs Dominique Simone Reyes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447899703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW20741 (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. Mrs Dominique Simone Reyes allows following entities to bill medicare on her behalf.

Entity Name	Elu, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396222394 PECOS PAC ID: 7719228451 Enrollment ID: O20230317000509

Entity Name	Optum Behavioral Care Of North Carolina, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033984448 PECOS PAC ID: 5092120030 Enrollment ID: O20240401000110

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. Mrs Dominique Simone Reyes 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
Mrs Dominique Simone Reyes, LCSW 1101 W 40th St Unit 2225, Chattanooga, TN 37409-1379 Ph: (877) 358-2998	Mrs Dominique Simone Reyes, LCSW 2120 Airport Rd, Lakeland, FL 33811-1021 Ph: (877) 358-2998

Reviews and Comments

Social Worker in Lakeland, FL

Mrs. Heather Lynn Prociuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 State Road 540a, Lakeland, FL 33813 Phone: 863-608-0583
Erin Walley Rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5245 N Socrum Loop Rd, Lakeland, FL 33809 Phone: 863-859-1446
Laura Braswell, M.DIV LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2625 Hollingsworth Hill Ave, Lakeland, FL 33803 Phone: 863-660-5243
Ms. Khalilah Garrett, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4541 Breccia Ln, Lakeland, FL 33811 Phone: 804-564-1308
Michelle Means, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1825 Gilmore Ave, Lakeland, FL 33805 Phone: 863-519-0575 Fax: 863-582-9251
Amanda Gillespie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3020 S Florida Ave, Lakeland, FL 33803 Phone: 813-290-8560
Ruth Kimmons, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6736 Lunn Rd, Lakeland, FL 33811 Phone: 863-397-4122

Mrs Dominique Simone Reyes, LCSW - Medicare Clinical Social Worker in Lakeland, FL