Andrea K Blackwell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Greenville, South Carolina. Her current practice location is
124 Mallard St., Greenville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 241-1040.
Andrea K Blackwell is licensed to practice in Georgia (license number CSW008540) 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 1457674111.
Healthcare Provider's Profile
| Full Name | Andrea K Blackwell |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 124 Mallard St., Greenville, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457674111
- Provider Enumeration Date: 03/10/2010
- Last Update Date: 03/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759746399
- Enrollment ID: I20230503002243
Medical Identifiers
Medical identifiers for Andrea K Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457674111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW008540 (Georgia) | 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. Andrea K Blackwell allows following entities to bill medicare on her behalf.
| Entity Name | Highland Rivers Community Service Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447256243
PECOS PAC ID: 9032000245
Enrollment ID: O20040324001204 |
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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. Andrea K Blackwell 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 |
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Andrea K Blackwell, LCSW
1449 Temple Rd,
Bremen, GA 30110-2378
Ph: (770) 537-2367 | Andrea K Blackwell, LCSW
124 Mallard St.,
Greenville, SC 29601-4046
Ph: (864) 241-1040 |
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