Ebone Coakley, LCSW in Lawrenceville, GA - Medicare Social Worker Provider

Ebone Coakley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lawrenceville, Georgia. Her current practice location is 1840 Old Norcross Rd, Suite 200, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 355-6073.

Ebone Coakley is licensed to practice in Georgia (license number CSW004856) 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 1992174817.

Contact Information

	Ebone Coakley, LCSW
	1840 Old Norcross Rd, Suite 200, Lawrenceville, GA 30044-8803
	(770) 355-6073
	(770) 913-8027

Map and Direction

Healthcare Provider's Profile

Full Name	Ebone Coakley
Gender	Female
Speciality	Social Worker - Clinical
Location	1840 Old Norcross Rd, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992174817
Provider Enumeration Date: 09/22/2015
Last Update Date: 08/31/2016

Medicare PECOS Information:

PECOS PAC ID: 3678877990
Enrollment ID: I20160208001119

Medical Identifiers

Medical identifiers for Ebone Coakley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992174817	NPI	-	NPPES
003168454B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW004856 (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. Ebone Coakley allows following entities to bill medicare on her behalf.

Entity Name	Total Family And Life Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164895470 PECOS PAC ID: 2769786086 Enrollment ID: O20160208000772

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. Ebone Coakley 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
Ebone Coakley, LCSW 519 Harmonyview Ct, Loganville, GA 30052-6233 Ph: (770) 355-6073	Ebone Coakley, LCSW 1840 Old Norcross Rd, Suite 200, Lawrenceville, GA 30044-8803 Ph: (770) 355-6073

Reviews and Comments

Social Worker in Lawrenceville, GA

Miss Opal Hope Minott, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1083 Simonton Hill Ct, Lawrenceville, GA 30045 Phone: 770-375-0479 Fax: 678-985-4228
Ms. Tomekia Holandia Raines, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 W Oak St Ste 2, Lawrenceville, GA 30046 Phone: 770-866-1060
Akisha Miller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 888 Legacy Park Dr Ste 301, Lawrenceville, GA 30043 Phone: 855-284-7483 Fax: 617-807-0958
Natali Nelson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Lakes Pkwy Unit 4416, Lawrenceville, GA 30043 Phone: 413-427-3627
Ms. Jasmine Denise Williams, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2229 Oakland Downs Way, Lawrenceville, GA 30044 Phone: 850-524-9069
Ms. Jacklyn J Montero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30045 Phone: 770-339-5377 Fax: 770-339-5016
Gail S Hammond, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 295 S Culver St Ste A, Lawrenceville, GA 30046 Phone: 770-217-7903 Fax: 770-995-0171

Ebone Coakley, LCSW - Medicare Clinical Social Worker in Lawrenceville, GA