Gina Marqua, LCSW - Medicare Clinical Social Worker in Newport, TN

Gina Marqua, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Newport, Tennessee. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Cherokee Health Systems and her current practice location is 215 Hedrick Dr, Newport, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 626-5301.

Gina Marqua is licensed to practice in Tennessee (license number 7874) 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 1467827097.

Contact Information

Gina Marqua, LCSW
215 Hedrick Dr,
Newport, TN 37821-2902
(423) 626-5301
(423) 625-0808

Map and Direction




Healthcare Provider's Profile

Full NameGina Marqua
GenderFemale
SpecialityClinical Social Worker
Experience12 Years
Location215 Hedrick Dr, Newport, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gina Marqua graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1467827097
  • Provider Enumeration Date: 12/08/2015
  • Last Update Date: 11/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688976640
  • Enrollment ID: I20211208000366

Medical Identifiers

Medical identifiers for Gina Marqua such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467827097NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (Tennessee)Secondary
1041C0700XSocial Worker - Clinical 34007417A (Indiana)Secondary
1041C0700XSocial Worker - Clinical 7874 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cherokee Health Systems357747429594

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. Gina Marqua allows following entities to bill medicare on her behalf.
Entity NameCherokee Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134128820
PECOS PAC ID: 3577474295
Enrollment ID: O20031119000769

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. Gina Marqua 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 AddressPractice Location Address
Gina Marqua, LCSW
1923 Sulphur Springs Rd Ste 1,
Morristown, TN 37813-5654

Ph: (423) 317-9344
Gina Marqua, LCSW
215 Hedrick Dr,
Newport, TN 37821-2902

Ph: (423) 626-5301

Reviews and Comments


Social Worker in Newport, TN

Kathy Elaine Jones, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 215 Hedrick Dr, Newport, TN 37821
Phone: 423-623-5301    Fax: 423-625-0808
Melody Suzanne Hickman-horvath, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 215 Hedrick Dr, Newport, TN 37821
Phone: 423-623-5301    Fax: 423-625-0808

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.