James Kaleolani Pulido Terry, LCSW in Richmond, VA - Medicare Social Worker Provider

James Kaleolani Pulido Terry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Virginia. His current practice location is 5511 Staples Mill Rd, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 446-7458.

James Kaleolani Pulido Terry is licensed to practice in Virginia (license number 0904010628) 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 1134777261.

Contact Information

	James Kaleolani Pulido Terry, LCSW
	5511 Staples Mill Rd, Richmond, VA 23228-5445
	(540) 446-7458
	(804) 422-0207

Map and Direction

Healthcare Provider's Profile

Full Name	James Kaleolani Pulido Terry
Gender	Male
Speciality	Social Worker - Clinical
Location	5511 Staples Mill Rd, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134777261
Provider Enumeration Date: 09/02/2019
Last Update Date: 09/02/2019

Medicare PECOS Information:

PECOS PAC ID: 5092111435
Enrollment ID: I20210909001885

Medical Identifiers

Medical identifiers for James Kaleolani Pulido Terry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134777261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904010628 (Virginia)	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. James Kaleolani Pulido Terry allows following entities to bill medicare on his behalf.

Entity Name	Intercept Youth Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730608217 PECOS PAC ID: 2466748744 Enrollment ID: O20160913001490

Entity Name	Iyh I Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609448927 PECOS PAC ID: 7113313032 Enrollment ID: O20220401000711

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. James Kaleolani Pulido Terry 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
James Kaleolani Pulido Terry, LCSW 5511 Staples Mill Rd Ste 102, Richmond, VA 23228-5445 Ph: (540) 446-7458	James Kaleolani Pulido Terry, LCSW 5511 Staples Mill Rd, Richmond, VA 23228-5445 Ph: (540) 446-7458

Reviews and Comments

Social Worker in Richmond, VA

Mr. J. Patrick Slifka, LCSW, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5002 Monument Avenue Suite 201, Richmond, VA 23230 Phone: 804-497-4676 Fax: 804-497-4677
Mrs. Hope L. Helton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Moorefield Park Dr, Suite 202, Richmond, VA 23236 Phone: 804-272-7611 Fax: 804-560-5574
Kristi Difilippo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900
Richara Shepperson-turner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 N Ninth St, Richmond, VA 23219 Phone: 804-780-7312
Sarah Metz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Broad St, Richmond, VA 23230 Phone: 804-353-4461
Melissa-irene Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2219 W Main St, Richmond, VA 23220 Phone: 804-234-3158
Kimberly Embe-mamong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 E Laburnum Ave Ste 3, Richmond, VA 23222 Phone: 804-277-9892

James Kaleolani Pulido Terry, LCSW - Medicare Clinical Social Worker in Richmond, VA