Kathleen Deal Tatum, LCSW in Jesup, GA - Medicare Social Worker Provider

Kathleen Deal Tatum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jesup, Georgia. Her current practice location is 296 Turpentine Cir, Jesup, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 424-6134.

Kathleen Deal Tatum is licensed to practice in Georgia (license number CSW008165) 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 1366901712.

Contact Information

	Kathleen Deal Tatum, LCSW
	296 Turpentine Cir, Jesup, GA 31545-2574
	(912) 424-6134
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Deal Tatum
Gender	Female
Speciality	Social Worker - Clinical
Location	296 Turpentine Cir, Jesup, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366901712
Provider Enumeration Date: 03/15/2019
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 1355876376
Enrollment ID: I20241127000181

Medical Identifiers

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

Identifier	Type	State	Issuer
1366901712	NPI	-	NPPES
CSW008165	Other	GA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW008165 (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. Kathleen Deal Tatum allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Kathleen Deal 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
Kathleen Deal Tatum, LCSW 296 Turpentine Cir, Jesup, GA 31545-2574 Ph: (912) 424-6134	Kathleen Deal Tatum, LCSW 296 Turpentine Cir, Jesup, GA 31545-2574 Ph: (912) 424-6134

Reviews and Comments

Social Worker in Jesup, GA

Marissa Lairsey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 189 N Brunswick St, Jesup, GA 31546 Phone: 912-530-8889
Paulette Parker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-294-2900
Hannah Brooke Evors, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 311 E Cherry St, Jesup, GA 31546 Phone: 912-530-8889
Shauna Mattingly, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1520 W Cherry St, Jesup, GA 31545 Phone: 912-286-2423
Porche Lashoade Corley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1240 S 1st St, Jesup, GA 31545 Phone: 912-421-9794

Kathleen Deal Tatum, LCSW - Medicare Clinical Social Worker in Jesup, GA