Nicole Elizabeth Flory, is a medicare enrolled "Social Worker - Clinical" provider in Tampa, Florida. Her current practice location is
4107 W Spruce St Ste 100, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 636-8811.
Nicole Elizabeth Flory is licensed to practice in Florida (license number SW20912) 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 1669063749.
Healthcare Provider's Profile
| Full Name | Nicole Elizabeth Flory |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4107 W Spruce St Ste 100, Tampa, 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: 1669063749
- Provider Enumeration Date: 02/01/2021
- Last Update Date: 07/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517338726
- Enrollment ID: I20230126001903
Medical Identifiers
Medical identifiers for Nicole Elizabeth Flory such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669063749 | NPI | - | NPPES |
| 116749100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW20912 (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. Nicole Elizabeth Flory allows following entities to bill medicare on her behalf.
| Entity Name | Neuropsychiatric Institute, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184900631
PECOS PAC ID: 5698936037
Enrollment ID: O20120412000144 |
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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. Nicole Elizabeth Flory 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 |
|---|
Nicole Elizabeth Flory,
4107 W Spruce St Ste 100,
Tampa, FL 33607-2346
Ph: (813) 636-8811 | Nicole Elizabeth Flory,
4107 W Spruce St Ste 100,
Tampa, FL 33607-2346
Ph: (813) 636-8811 |
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