Mrs Edwina Lenora Whittingham, LCSW in Conyers, GA - Medicare Social Worker Provider

Mrs Edwina Lenora Whittingham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Conyers, Georgia. Her current practice location is 1808 Over Lake Dr Se Ste D, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 213-2194.

Mrs Edwina Lenora Whittingham is licensed to practice in Georgia (license number CSW003478) 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 1396999306.

Contact Information

	Mrs Edwina Lenora Whittingham, LCSW
	1808 Over Lake Dr Se Ste D, Conyers, GA 30013-6608
	(678) 213-2194
	(678) 922-7767

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Edwina Lenora Whittingham
Gender	Female
Speciality	Social Worker - Clinical
Location	1808 Over Lake Dr Se Ste D, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396999306
Provider Enumeration Date: 11/05/2008
Last Update Date: 06/25/2019

Medicare PECOS Information:

PECOS PAC ID: 8022179159
Enrollment ID: I20081209000112

Medical Identifiers

Medical identifiers for Mrs Edwina Lenora Whittingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396999306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW003478 (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. Mrs Edwina Lenora Whittingham allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Mrs Edwina Lenora Whittingham 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
Mrs Edwina Lenora Whittingham, LCSW 2530 Old Salem Cir Se, Conyers, GA 30013-2454 Ph: (770) 918-8348	Mrs Edwina Lenora Whittingham, LCSW 1808 Over Lake Dr Se Ste D, Conyers, GA 30013-6608 Ph: (678) 213-2194

Reviews and Comments

Social Worker in Conyers, GA

Mrs. Linda Bailey Hagan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1814 Lakefield Ct Se, Suite A, Conyers, GA 30013 Phone: 770-922-4770 Fax: 770-922-4993
Brandi Michelle Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1808 Over Lake Dr Se Ste D, Conyers, GA 30013 Phone: 678-213-2194
Mrs. Ruthie Lee Culver-reed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 977a Taylor St Sw, Conyers, GA 30012 Phone: 770-918-6677
Miss Tairra Kemp, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 815 Cedar Lake Dr Se, Conyers, GA 30094 Phone: 167-855-7162
Dr. Rena M Glass-dixon, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 990 Iris Dr Sw Ste 103, Conyers, GA 30094 Phone: 770-369-9984 Fax: 770-369-9984
Nicole Johns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1540 Highway 138 Se, Conyers, GA 30013 Phone: 404-375-0916
Mrs. Jini F. P. Tyler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 997 Commerce Dr Sw, Suite 3a, Conyers, GA 30094 Phone: 770-361-8822

Mrs Edwina Lenora Whittingham, LCSW - Medicare Clinical Social Worker in Conyers, GA