Kendra Renee Bullocks, LCSW in Fort Moore, GA - Medicare Social Worker Provider

Kendra Renee Bullocks, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Moore, Georgia. Her current practice location is 6600 Van Aalst Blvd, Fort Moore, Georgia. You can reach out to her office (for appointments etc.) via phone at (762) 408-2273.

Kendra Renee Bullocks is licensed to practice in California (license number 95175) 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 1356956940.

Contact Information

	Kendra Renee Bullocks, LCSW
	6600 Van Aalst Blvd, Fort Moore, GA 31905-2102
	(762) 408-2273
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kendra Renee Bullocks
Gender	Female
Speciality	Social Worker - Clinical
Location	6600 Van Aalst Blvd, Fort Moore, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356956940
Provider Enumeration Date: 09/10/2020
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 0749681518
Enrollment ID: I20210630002618

Medical Identifiers

Medical identifiers for Kendra Renee Bullocks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356956940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	26340 (Maryland)	Secondary
1041C0700X	Social Worker - Clinical	95175 (California)	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. Kendra Renee Bullocks allows following entities to bill medicare on her behalf.

Entity Name	Supportive Care Of Maryland Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447802616 PECOS PAC ID: 9234460999 Enrollment ID: O20191107000137

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. Kendra Renee Bullocks 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
Kendra Renee Bullocks, LCSW 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: () -	Kendra Renee Bullocks, LCSW 6600 Van Aalst Blvd, Fort Moore, GA 31905-2102 Ph: (762) 408-2273

Reviews and Comments

Social Worker in Fort Moore, GA

Cindy Rosemarie Dad, MSW, LCSW, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-2273
Jenna Irene Evans, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-4073
Celisa A Daniels, LCSW, CAADC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 762-408-4104
Ms. Jessica Laurel Dawson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd Bldg 9250, Fort Moore, GA 31905 Phone: 762-408-2273
Kellie Buck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 706-545-3172 Fax: 706-323-2564
Karnisha Harvey, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Moore, GA 31905 Phone: 067-545-4995

Kendra Renee Bullocks, LCSW - Medicare Clinical Social Worker in Fort Moore, GA