Ms Rebecca Thomson Blake, in Wilmington, NC - Medicare Clinical Social Worker Provider

Ms Rebecca Thomson Blake, is a medicare enrolled "Social Worker - Clinical" provider in Wilmington, North Carolina. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lifesource Of North Carolina and her current practice location is 1213 Culbreth Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 742-9243.

Ms Rebecca Thomson Blake is licensed to practice in North Carolina (license number C009553) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407292915.

Contact Information

	Ms Rebecca Thomson Blake,
	1213 Culbreth Dr, Wilmington, NC 28405-3639
	(910) 742-9243
	(888) 746-1787

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Rebecca Thomson Blake
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	1213 Culbreth Dr, Wilmington, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Rebecca Thomson Blake graduated from medical school in 2013

NPI Data:

NPI Number: 1407292915
Provider Enumeration Date: 05/13/2013
Last Update Date: 10/05/2015

Medicare PECOS Information:

PECOS PAC ID: 0345540357
Enrollment ID: I20151124000668

Medical Identifiers

Medical identifiers for Ms Rebecca Thomson Blake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407292915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C009553 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifesource Of North Carolina	7416132428	154

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. Ms Rebecca Thomson Blake allows following entities to bill medicare on her behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

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. Ms Rebecca Thomson Blake 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
Ms Rebecca Thomson Blake, Po Box 538622, Atlanta, GA 30353-8622 Ph: (910) 742-9243	Ms Rebecca Thomson Blake, 1213 Culbreth Dr, Wilmington, NC 28405-3639 Ph: (910) 742-9243

Reviews and Comments

Social Worker in Wilmington, NC

Mr. Joseph Peters, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Kelly Rd, Wilmington, NC 28409 Phone: 910-409-2754
Elisabeth Troy, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890 Fax: 910-332-1233
Miss Mary Florence Wood, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-617-9647 Fax: 910-202-5772
Makayla Jessica Bowling Mills, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890
Mrs. Aimee L. Schulze, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 311-4e Judges Rd, Wilmington, NC 28405 Phone: 910-791-6767 Fax: 910-791-6890
Mary E Dowcett, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Physicians Dr Ste 104, Wilmington, NC 28401 Phone: 910-343-6890
Terrance Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 615 Shipyard Blvd, Wilmington, NC 28412 Phone: 910-343-0145 Fax: 910-202-9966

Ms Rebecca Thomson Blake, - Medicare Clinical Social Worker in Wilmington, NC