Cumi Talitha Jolly, LCSW in Charlotte, NC - Medicare Clinical Social Worker Provider

Cumi Talitha Jolly, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Novant Medical Group Inc and her current practice location is 3545 Whitehall Park Dr Ste 300, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 302-8850.

Cumi Talitha Jolly is licensed to practice in North Carolina (license number C008689) 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 1245630128.

Contact Information

	Cumi Talitha Jolly, LCSW
	3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179
	(980) 302-8850
	(704) 316-8118

Map and Direction

Healthcare Provider's Profile

Full Name	Cumi Talitha Jolly
Gender	Female
Speciality	Clinical Social Worker
Experience	32 Years
Location	3545 Whitehall Park Dr Ste 300, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cumi Talitha Jolly graduated from medical school in 1992

NPI Data:

NPI Number: 1245630128
Provider Enumeration Date: 08/28/2014
Last Update Date: 11/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8527116086
Enrollment ID: I20151207002081

Medical Identifiers

Medical identifiers for Cumi Talitha Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245630128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C008689 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. Cumi Talitha Jolly allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

Entity Name	Daymark Recovery Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213

Entity Name	Novant Health Medical Group Coastal Region Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285

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. Cumi Talitha Jolly 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
Cumi Talitha Jolly, LCSW Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Cumi Talitha Jolly, LCSW 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273-4179 Ph: (980) 302-8850

Reviews and Comments

Social Worker in Charlotte, NC

Ms. Latonya Latrice Pompey, MSW, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5633 Monroe Rd, Suite D, Charlotte, NC 28212 Phone: 843-356-0719
Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Elder, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Springbank Ln, Suite G, Charlotte, NC 28226 Phone: 980-288-8595

Cumi Talitha Jolly, LCSW - Medicare Clinical Social Worker in Charlotte, NC