Vicki Arlene Blaize, LCSW in Gulfport, MS - Medicare Social Worker Provider

Vicki Arlene Blaize, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Gulfport, Mississippi. Her current practice location is 1617 25th Ave # 203, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 325-5855.

Vicki Arlene Blaize is licensed to practice in Mississippi (license number C8095) 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 1134731102.

Contact Information

	Vicki Arlene Blaize, LCSW
	1617 25th Ave # 203, Gulfport, MS 39501-2834
	(228) 325-5855
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vicki Arlene Blaize
Gender	Female
Speciality	Social Worker - Clinical
Location	1617 25th Ave # 203, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134731102
Provider Enumeration Date: 08/20/2020
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 2365847142
Enrollment ID: I20210817001182

Medical Identifiers

Medical identifiers for Vicki Arlene Blaize such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134731102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW.09929625 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	C8095 (Mississippi)	Primary

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. Vicki Arlene Blaize 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
Vicki Arlene Blaize, LCSW Po Box 7707, Diberville, MS 39540-7602 Ph: (228) 325-5855	Vicki Arlene Blaize, LCSW 1617 25th Ave # 203, Gulfport, MS 39501-2834 Ph: (228) 325-5855

Reviews and Comments

Social Worker in Gulfport, MS

Dr. Shelia Rivers, DSW, LCSW, MPH Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 707-728-5131
Mrs. Mona Marie Holloway, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 36, Gulfport, MS 39501 Phone: 228-591-1442
Ms. Susan Elizabeth Pyles, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11070 David St, Gulfport, MS 39503 Phone: 228-990-5217 Fax: 228-594-9155
Miss Juliet Liuzza, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1450 North St, Gulfport, MS 39507 Phone: 228-219-5995
Mrs. Jocelyn Gavin-lane, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10585 Three Rivers Rd, Suite C, Gulfport, MS 39503 Phone: 228-604-0099 Fax: 228-604-2001
Dr. Lauren Suzanne Zakaras, LCSW, DBH Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15465 Oak Ln, Ste. D, Gulfport, MS 39503 Phone: 765-720-3730
Shannon Deirdre Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501 Phone: 228-822-5710

Vicki Arlene Blaize, LCSW - Medicare Clinical Social Worker in Gulfport, MS