Marcdala Thomas, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lakeland, Florida. Her current practice location is
715 N Lake Ave, Lakeland, Florida. You can reach out to her office (for appointments etc.) via phone at
(635) 190-5758.
Marcdala Thomas is licensed to practice in Florida (license number SW13507) 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 1750681128.
Healthcare Provider's Profile
| Full Name | Marcdala Thomas |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 715 N Lake Ave, Lakeland, Florida |
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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: 1750681128
- Provider Enumeration Date: 11/01/2010
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517256795
- Enrollment ID: I20160511000301
Medical Identifiers
Medical identifiers for Marcdala Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750681128 | NPI | - | NPPES |
| 017268900 | Medicaid | FL | |
| 003063800 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SW13507 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW13507 (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. Marcdala Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Tampa Family Health Centers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356347413
PECOS PAC ID: 1254243769
Enrollment ID: O20110105001043 |
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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. Marcdala Thomas 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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Marcdala Thomas, LCSW
Po Box 1559,
Bartow, FL 33831-1559
Ph: (863) 519-0575 | Marcdala Thomas, LCSW
715 N Lake Ave,
Lakeland, FL 33801-1908
Ph: (635) 190-5758 |
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