Mrs Renata L Chambers, is a medicare enrolled "Social Worker - Clinical" provider in Eglin Afb, Florida. Her current practice location is
307 Boatner Rd Ste 114, Eglin Afb, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 883-8374.
Mrs Renata L Chambers is licensed to practice in Florida (license number SW16434) 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 1962955880.
Healthcare Provider's Profile
Full Name | Mrs Renata L Chambers |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 307 Boatner Rd Ste 114, Eglin Afb, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962955880
- Provider Enumeration Date: 07/27/2016
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961885025
- Enrollment ID: I20220823000938
Medical Identifiers
Medical identifiers for Mrs Renata L Chambers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962955880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SW16434 (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. Mrs Renata L Chambers allows following entities to bill medicare on her behalf.
Entity Name | Upshaw Tms Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629560545 PECOS PAC ID: 3678819349 Enrollment ID: O20190117000340 |
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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. Mrs Renata L Chambers 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 |
Mrs Renata L Chambers, 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8374 | Mrs Renata L Chambers, 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8374 |
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