Nicole Monique Whitley, LCSW in Lutz, FL - Medicare Social Worker Provider

Nicole Monique Whitley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lutz, Florida. Her current practice location is 17716 Jamestown Way, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 461-2561.

Nicole Monique Whitley is licensed to practice in Florida (license number 19439) 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 1487270989.

Contact Information

	Nicole Monique Whitley, LCSW
	17716 Jamestown Way, Lutz, FL 33558-7708
	(813) 461-2561
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Monique Whitley
Gender	Female
Speciality	Social Worker - Clinical
Location	17716 Jamestown Way, Lutz, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487270989
Provider Enumeration Date: 06/19/2020
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 6608251186
Enrollment ID: I20220920001204

Medical Identifiers

Medical identifiers for Nicole Monique Whitley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487270989	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13610 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	19439 (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. Nicole Monique Whitley allows following entities to bill medicare on her behalf.

Entity Name	Tampa Family Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356347413 PECOS PAC ID: 1254243769 Enrollment ID: O20110105001043

Entity Name	Quality Bhs Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689297541 PECOS PAC ID: 4082030721 Enrollment ID: O20200812002561

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

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. Nicole Monique Whitley 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
Nicole Monique Whitley, LCSW 17716 Jamestown Way, Lutz, FL 33558-7708 Ph: (813) 461-2561	Nicole Monique Whitley, LCSW 17716 Jamestown Way, Lutz, FL 33558-7708 Ph: (813) 461-2561

Reviews and Comments

Social Worker in Lutz, FL

Mrs. Yuly Mera-ramirez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2831 Allegra Way, Lutz, FL 33559 Phone: 813-693-2613
Amanda Kirsten Calta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19010 Cour Ests, Lutz, FL 33558 Phone: 813-514-3706
Jenifer Aleida Hardee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20007 Stone Pine Cir, Lutz, FL 33558 Phone: 863-738-9818
Mildred W Phillips, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4903 Van Dyke Road, Lutz, FL 33558 Phone: 813-265-3859 Fax: 813-265-3966
Kelly A Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5318 Van Dyke Rd, Lutz, FL 33558 Phone: 813-434-3468 Fax: 813-649-6375
Ms. Phyllis Ann Cloman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 Michelin Ct, Lutz, FL 33549 Phone: 813-949-8946 Fax: 813-948-1578
Ms. Deborah Jane Cone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19316 Pier Point Ct, Lutz, FL 33558 Phone: 813-508-1917

Nicole Monique Whitley, LCSW - Medicare Clinical Social Worker in Lutz, FL