Devesea Tatum, LCSW in Stockbridge, GA - Medicare Social Worker Provider

Devesea Tatum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Stockbridge, Georgia. Her current practice location is 255 Corporate Center Dr Ste C, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 478-2937.

Devesea Tatum is licensed to practice in Georgia (license number CSW006032) 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 1023417565.

Contact Information

	Devesea Tatum, LCSW
	255 Corporate Center Dr Ste C, Stockbridge, GA 30281-7376
	(678) 478-2937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Devesea Tatum
Gender	Female
Speciality	Social Worker - Clinical
Location	255 Corporate Center Dr Ste C, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023417565
Provider Enumeration Date: 08/21/2014
Last Update Date: 12/01/2019

Medicare PECOS Information:

PECOS PAC ID: 1658612536
Enrollment ID: I20190402001100

Medical Identifiers

Medical identifiers for Devesea Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023417565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006032 (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. Devesea Tatum allows following entities to bill medicare on her behalf.

Entity Name	Pruitthealth Hospice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013955749 PECOS PAC ID: 2264344217 Enrollment ID: O20190702003113

Entity Name	Peaceful Insight Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194364075 PECOS PAC ID: 7214368240 Enrollment ID: O20200507001273

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. Devesea Tatum 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
Devesea Tatum, LCSW 255 Corporate Center Dr Ste C, Stockbridge, GA 30281-7376 Ph: (678) 478-2937	Devesea Tatum, LCSW 255 Corporate Center Dr Ste C, Stockbridge, GA 30281-7376 Ph: (678) 478-2937

Reviews and Comments

Social Worker in Stockbridge, GA

Rashonda L Clay-douthit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Chariot Ct, Stockbridge, GA 30281 Phone: 678-270-7235
Dara Charpentier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 568 Ransom Way, Stockbridge, GA 30281 Phone: 404-391-1782 Fax: 404-391-1782
Mrs. Olga V. Jantzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3580 Cameron Pkwy, Stockbridge, GA 30281 Phone: 678-565-6228
Mrs. Dawn P Kentish Bennett, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 297 Ironwood Dr, Stockbridge, GA 30281 Phone: 401-743-0408
Toshi Shareef, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Chimney Smoke Dr, Stockbridge, GA 30281 Phone: 678-886-8573
Colette Alls, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 447 Lakeshore Dr, Stockbridge, GA 30281 Phone: 678-886-1261

Devesea Tatum, LCSW - Medicare Clinical Social Worker in Stockbridge, GA