Mr Bruce Bernard Tisdale, DSW, LICSW, LCSW-C - Medicare Counselor in Suitland, MD

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Mr Bruce Bernard Tisdale, DSW, LICSW, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Suitland, Maryland. He graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 5211 Auth Road St 203, Suitland, Maryland. You can reach out to his office (for appointments etc.) via phone at (202) 257-6632.

Mr Bruce Bernard Tisdale is licensed to practice in Maryland (license number G11619) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588816490.

Contact Information

Mr Bruce Bernard Tisdale, DSW, LICSW, LCSW-C
5211 Auth Road St 203,
Suitland, MD 20746
(202) 257-6632
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Bruce Bernard Tisdale
GenderMale
SpecialityClinical Social Worker
Experience20 Years
Location5211 Auth Road St 203, Suitland, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Bruce Bernard Tisdale graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1588816490
  • Provider Enumeration Date: 10/22/2008
  • Last Update Date: 01/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315104965
  • Enrollment ID: I20120209000108

Medical Identifiers

Medical identifiers for Mr Bruce Bernard Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588816490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LC50078990 (District Of Columbia)Secondary
104100000XSocial Worker (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical LC50078990 (Maryland)Secondary
261QD1600XClinic/center - Developmental Disabilities (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical G11619 (Maryland)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. Mr Bruce Bernard Tisdale allows following entities to bill medicare on his behalf.
Entity NameHope 4 You Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679948053
PECOS PAC ID: 3870892730
Enrollment ID: O20160427000407
Entity NameThe Family Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609141704
PECOS PAC ID: 9830406412
Enrollment ID: O20170221000149
Entity NameKahak, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568638187
PECOS PAC ID: 6608299037
Enrollment ID: O20240608000158

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. Mr Bruce Bernard Tisdale 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 AddressPractice Location Address
Mr Bruce Bernard Tisdale, DSW, LICSW, LCSW-C
5805 Mcintosh Pl,
Brandywine, MD 20613-7795

Ph: (202) 257-6632		Mr Bruce Bernard Tisdale, DSW, LICSW, LCSW-C
5211 Auth Road St 203,
Suitland, MD 20746

Ph: (202) 257-6632

Reviews and Comments


Social Worker in Suitland, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.