Damien W Pettway, EDS, LCSW in Athens, GA - Medicare Social Worker Provider

Damien W Pettway, EDS, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Athens, Georgia. His current practice location is 445 Huntington Rd Ste 120, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 389-5171.

Damien W Pettway is licensed to practice in Georgia (license number CSW007537) 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 1609480557.

Contact Information

	Damien W Pettway, EDS, LCSW
	445 Huntington Rd Ste 120, Athens, GA 30606-1840
	(706) 389-5171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Damien W Pettway
Gender	Male
Speciality	Social Worker - Clinical
Location	445 Huntington Rd Ste 120, Athens, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609480557
Provider Enumeration Date: 09/08/2020
Last Update Date: 03/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2466807177
Enrollment ID: I20231016003564

Medical Identifiers

Medical identifiers for Damien W Pettway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609480557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW007537 (Georgia)	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. Damien W Pettway allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Damien W Pettway 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
Damien W Pettway, EDS, LCSW 3651 Ryland Hills Dr, Watkinsville, GA 30677-2978 Ph: (706) 248-5663	Damien W Pettway, EDS, LCSW 445 Huntington Rd Ste 120, Athens, GA 30606-1840 Ph: (706) 389-5171

Reviews and Comments

Social Worker in Athens, GA

Lori Whitmire, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1435 Oglethorpe Ave, Athens, GA 30606 Phone: 706-549-7755 Fax: 706-549-0428
Dr. Omar Tremayne Sims, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 N Lumpkin St, Athens, GA 30601 Phone: 706-369-7911 Fax: 706-208-9509
Matthew Charles Hurd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Business Office, Athens, GA 30601 Phone: 706-542-9700 Fax: 706-227-7249
Shannen Faye Malutinok, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Huntington Rd Ste 103, Athens, GA 30606 Phone: 706-850-7041 Fax: 706-850-7042
Kiva Fisher-green, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-389-6789 Fax: 706-227-7249
Nikiki Stovall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Gaines School Rd Ste C4, Athens, GA 30605 Phone: 706-389-9855
Ms. Bonnie G Rocker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 Bray St, Athens, GA 30601 Phone: 706-389-6789

Damien W Pettway, EDS, LCSW - Medicare Clinical Social Worker in Athens, GA