Michelle Back, LCSW-C - Medicare Clinical Social Worker in Laplata, MD

Michelle Back, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Laplata, Maryland. Her current practice location is 6100 Radio Station Road, Laplata, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 609-9887.

Michelle Back is licensed to practice in Maryland (license number 13796) 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 1134333107.

Contact Information

Michelle Back, LCSW-C
6100 Radio Station Road,
Laplata, MD 20646
(301) 609-9887
(301) 609-7284



Healthcare Provider's Profile

Full NameMichelle Back
GenderFemale
SpecialitySocial Worker - Clinical
Location6100 Radio Station Road, Laplata, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134333107
  • Provider Enumeration Date: 05/09/2007
  • Last Update Date: 10/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3173676699
  • Enrollment ID: I20090731000288

Medical Identifiers

Medical identifiers for Michelle Back such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134333107NPI-NPPES
417227200MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 13796 (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. Michelle Back allows following entities to bill medicare on her behalf.
Entity NameAndrew T Gergely, Md & Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033134341
PECOS PAC ID: 1456323237
Enrollment ID: O20040811001043

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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. Michelle Back 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
Michelle Back, LCSW-C
3175 W Ward Rd, 200,
Dunkirk, MD 20754-3020

Ph: (410) 286-0664
Michelle Back, LCSW-C
6100 Radio Station Road,
Laplata, MD 20646

Ph: (301) 609-9887

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Social Worker in Laplata, MD

Laurie D Gamble, LCSW-C
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 6100 Radio Station Road, Laplata, MD 20646
Phone: 301-609-9887    Fax: 301-609-7284
Joan Bishop Smith, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6100 Radio Station Road, Laplata, MD 20646
Phone: 301-609-9887    Fax: 301-609-7284
Markeeta Dixon, LGSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6100 Radio Station Road, Laplata, MD 20646
Phone: 301-609-9887    Fax: 301-609-7284
Mindy Krupp, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6100 Radio Station Road, Laplata, MD 20646
Phone: 301-609-9887    Fax: 301-609-7284

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