Extriara Charlesh Gates, LCSW in Atlanta, GA - Medicare Social Worker Provider

Extriara Charlesh Gates, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Atlanta, Georgia. Her current practice location is 3755 Redwine Rd Apt 2216, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 667-6791.

Extriara Charlesh Gates is licensed to practice in Georgia (license number CSW006847) 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 1033755137.

Contact Information

	Extriara Charlesh Gates, LCSW
	3755 Redwine Rd Apt 2216, Atlanta, GA 30344-5932
	(404) 667-6791
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Extriara Charlesh Gates
Gender	Female
Speciality	Social Worker - Clinical
Location	3755 Redwine Rd Apt 2216, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033755137
Provider Enumeration Date: 11/23/2019
Last Update Date: 11/23/2019

Medicare PECOS Information:

PECOS PAC ID: 1951767797
Enrollment ID: I20230519001983

Medical Identifiers

Medical identifiers for Extriara Charlesh Gates such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033755137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006847 (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. Extriara Charlesh Gates allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230404000719

Entity Name	Success Brand Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255077061 PECOS PAC ID: 9739546722 Enrollment ID: O20230607000228

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. Extriara Charlesh Gates 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
Extriara Charlesh Gates, LCSW 3755 Redwine Rd Apt 2216, Atlanta, GA 30344-5932 Ph: (404) 667-6791	Extriara Charlesh Gates, LCSW 3755 Redwine Rd Apt 2216, Atlanta, GA 30344-5932 Ph: (404) 667-6791

Reviews and Comments

Social Worker in Atlanta, GA

Michael Kendrick Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 343 8th St Ne, #e-2, Atlanta, GA 30309 Phone: 678-895-8412 Fax: 404-879-0779
Ms. Susan Peterson-hazan, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1821 Clifton Rd Ne, Atlanta, GA 30329 Phone: 404-728-6273 Fax: 404-728-6577
Rick Bemis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Virginia Ave, Suite 300, Atlanta, GA 30354 Phone: 404-438-2751 Fax: 404-761-7544
Ms. Phyllis Ann Glass, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1904 Monroe Dr Ne, Suite 120, Atlanta, GA 30324 Phone: 404-874-8294 Fax: 404-874-2020
Mrs. Alesia K Alexander Layne, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2048 Hosea L Williams Dr Ne, Suite A, Atlanta, GA 30317 Phone: 404-207-5024
Tzipporah R Gerson-miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1827 Powers Ferry Rd Se, Building 7 Suite 350, Atlanta, GA 30339 Phone: 404-913-1496
Louise Ann Hill, LCSW, M.DIV., D.MIN. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 Howard St Ne, Atlanta, GA 30317 Phone: 404-825-9170

Extriara Charlesh Gates, LCSW - Medicare Clinical Social Worker in Atlanta, GA