Mrs Sally Elizabeth Fogle, LCSW-C - Medicare Clinical Social Worker in Silver Spring, MD

Mrs Sally Elizabeth Fogle, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Silver Spring, Maryland. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Safe Harbor Behavioral Care Llc and her current practice location is 11120 New Hampshire Ave, Suite 204, Silver Spring, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 593-1315.

Mrs Sally Elizabeth Fogle is licensed to practice in Maryland (license number 09168) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316185671.

Contact Information

Mrs Sally Elizabeth Fogle, LCSW-C
11120 New Hampshire Ave, Suite 204,
Silver Spring, MD 20904-2633
(301) 593-1315
(310) 681-4699



Healthcare Provider's Profile

Full NameMrs Sally Elizabeth Fogle
GenderFemale
SpecialityClinical Social Worker
Experience30 Years
Location11120 New Hampshire Ave, Silver Spring, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Sally Elizabeth Fogle graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1316185671
  • Provider Enumeration Date: 01/25/2009
  • Last Update Date: 10/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4587721386
  • Enrollment ID: I20090323000375

Medical Identifiers

Medical identifiers for Mrs Sally Elizabeth Fogle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316185671NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 09168 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Safe Harbor Behavioral Care Llc034551467531

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› Verified 6 days ago

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 Sally Elizabeth Fogle allows following entities to bill medicare on her behalf.
Entity NamePsychogeriatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588689483
PECOS PAC ID: 6002719226
Enrollment ID: O20040128000532

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Entity NameSafe Harbor Christian Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245377894
PECOS PAC ID: 8022231000
Enrollment ID: O20140520001088

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Entity NameSafe Harbor Behavioral Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316487879
PECOS PAC ID: 0345514675
Enrollment ID: O20170925002242

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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 Sally Elizabeth Fogle 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
Mrs Sally Elizabeth Fogle, LCSW-C
9549a Baltimore National Pike,
Myersville, MD 21773

Ph: (240) 452-0659
Mrs Sally Elizabeth Fogle, LCSW-C
11120 New Hampshire Ave, Suite 204,
Silver Spring, MD 20904-2633

Ph: (301) 593-1315

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Social Worker in Silver Spring, MD

Mrs. Krystle Linnette Tinsley,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1420 Spring St, Silver Spring, MD 20910
Phone: 240-847-7500    
Ms. Mairead Burke, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 9507 Dallas Ave, Silver Spring, MD 20901
Phone: 240-203-9303    Fax: 240-244-9980
Ms. Thyra Jackson Benoit, LCSW-C, LICSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1107 Spring St Ste A3, Silver Spring, MD 20910
Phone: 301-460-3735    Fax: 301-460-3735
Ms. Tacie Dejanikus, M.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1398 Lamberton Dr, Silver Spring, MD 20902
Phone: 301-754-1102    Fax: 301-754-1690
Elizabeth J Hood,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8737 Colesville Rd, Suite 700, Silver Spring, MD 20910
Phone: 301-588-8881    
Ms. Cari Brown-duncan, LCSW-C, LICSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 8701 Georgia Ave, Suite 611, Silver Spring, MD 20910
Phone: 301-565-0720    Fax: 301-565-0721
Ms. Evelyn Goldstein, LCSW-C
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11235 Oak Leaf Dr, Suite #110, Silver Spring, MD 20901
Phone: 301-681-8597    Fax: 301-598-6648

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