Stacey R Blaylock, LCSW in Tulsa, OK - Medicare Social Worker Provider

Stacey R Blaylock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tulsa, Oklahoma. Her current practice location is 7127 S Olympia Ave, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 665-9500.

Stacey R Blaylock is licensed to practice in Oklahoma (license number 5795) 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 1790471589.

Contact Information

	Stacey R Blaylock, LCSW
	7127 S Olympia Ave, Tulsa, OK 74132-1856
	(918) 665-9500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey R Blaylock
Gender	Female
Speciality	Social Worker - Clinical
Location	7127 S Olympia Ave, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790471589
Provider Enumeration Date: 04/13/2023
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9032574934
Enrollment ID: I20230427003155

Medical Identifiers

Medical identifiers for Stacey R Blaylock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790471589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	5795 (Oklahoma)	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. Stacey R Blaylock allows following entities to bill medicare on her behalf.

Entity Name	Williams Medical Group Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300

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. Stacey R Blaylock 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
Stacey R Blaylock, LCSW 7127 S Olympia Ave, Tulsa, OK 74132-1856 Ph: (918) 665-9500	Stacey R Blaylock, LCSW 7127 S Olympia Ave, Tulsa, OK 74132-1856 Ph: (918) 665-9500

Reviews and Comments

Social Worker in Tulsa, OK

Ms. Charlotte L Cribbs, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 650 S Peoria Ave, Tulsa, OK 74120 Phone: 918-587-9471 Fax: 918-560-1399
Ms. Joella Mohrland Anglin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1538 N Lewis Ave, Tulsa, OK 74110 Phone: 918-400-7001 Fax: 539-202-5070
Julie Ann Kinzie, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 204, Tulsa, OK 74104 Phone: 918-403-7200 Fax: 918-293-3110
Ms. Lindsey Brook Vandeventer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11740 E 21st St, Tulsa, OK 74129 Phone: 918-437-9495
Teresa Baker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4835 S Fulton Ave Ste 107, Tulsa, OK 74135 Phone: 918-712-8800
Jessica Cannon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400
Joi-michelle Rhodes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1728 S Carson Ave, Tulsa, OK 74119 Phone: 918-936-6127

Stacey R Blaylock, LCSW - Medicare Clinical Social Worker in Tulsa, OK