Samuel Mitchell Elder, LISW-CP is a medicare enrolled "Social Worker" provider in Greenville, South Carolina. His current practice location is
301 Halton Rd Ste J, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 664-2710.
Samuel Mitchell Elder is licensed to practice in South Carolina (license number 13054) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891356200.
Healthcare Provider's Profile
Full Name | Samuel Mitchell Elder |
---|
Gender | Male |
---|
Speciality | Social Worker |
---|
Location | 301 Halton Rd Ste J, Greenville, South Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891356200
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 03/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921421405
- Enrollment ID: I20200701001534
Medical Identifiers
Medical identifiers for Samuel Mitchell Elder such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891356200 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | 13054 (South Carolina) | 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. Samuel Mitchell Elder allows following entities to bill medicare on his behalf.
Entity Name | Thrive Counseling Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200602000701 |
---|
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. Samuel Mitchell Elder 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 |
Samuel Mitchell Elder, LISW-CP 117 Commons Way, Greenville, SC 29611-3850 Ph: (219) 921-6988 | Samuel Mitchell Elder, LISW-CP 301 Halton Rd Ste J, Greenville, SC 29607-3498 Ph: (864) 664-2710 |
Reviews and Comments