Ms Marjorie Edith Gentry, MSW, LISW is a medicare enrolled "Social Worker - Clinical" provider in Leesville, South Carolina. Her current practice location is
6330 Two Notch Rd, Leesville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 422-2599.
Ms Marjorie Edith Gentry is licensed to practice in Ohio (license number I. 0009891) 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 1487673174.
Healthcare Provider's Profile
Full Name | Ms Marjorie Edith Gentry |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6330 Two Notch Rd, Leesville, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487673174
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 01/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224400585
- Enrollment ID: I20230214002672
Medical Identifiers
Medical identifiers for Ms Marjorie Edith Gentry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487673174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0009891 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | 10364 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | I. 0009891 (Ohio) | 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. Ms Marjorie Edith Gentry allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326 |
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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. Ms Marjorie Edith Gentry 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 |
Ms Marjorie Edith Gentry, MSW, LISW Po Box 3122, Leesville, SC 29070-1122 Ph: (803) 422-2599 | Ms Marjorie Edith Gentry, MSW, LISW 6330 Two Notch Rd, Leesville, SC 29070-8216 Ph: (803) 422-2599 |
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