Raphael Woodall, LCSW in Memphis, TN - Medicare Social Worker Provider

Raphael Woodall, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Memphis, Tennessee. His current practice location is 4646 Poplar Ave Ste 302, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 930-7397.

Raphael Woodall is licensed to practice in Tennessee (license number LSW0000005998) 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 1033742226.

Contact Information

	Raphael Woodall, LCSW
	4646 Poplar Ave Ste 302, Memphis, TN 38117-4433
	(901) 930-7397
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Raphael Woodall
Gender	Male
Speciality	Social Worker - Clinical
Location	4646 Poplar Ave Ste 302, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033742226
Provider Enumeration Date: 02/17/2020
Last Update Date: 02/17/2020

Medicare PECOS Information:

PECOS PAC ID: 2466988555
Enrollment ID: I20241212002634

Medical Identifiers

Medical identifiers for Raphael Woodall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033742226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LSW0000005998 (Tennessee)	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. Raphael Woodall allows following entities to bill medicare on his behalf.

Entity Name	Step Up Care Of Tennessee Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023660206 PECOS PAC ID: 5395074728 Enrollment ID: O20190911000795

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. Raphael Woodall 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
Raphael Woodall, LCSW 6819 Kerri Valley Ln, Cordova, TN 38018-2848 Ph: (662) 832-0933	Raphael Woodall, LCSW 4646 Poplar Ave Ste 302, Memphis, TN 38117-4433 Ph: (901) 930-7397

Reviews and Comments

Social Worker in Memphis, TN

Mrs. Kenyetta D. Mcintosh-jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990
Mrs. Martine Patrice Johnson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Avenue, Memphis, TN 38104 Phone: 901-523-8990
Ms. Annie Daniel Warren, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1331 Union Ave, Suite 930, Memphis, TN 38104 Phone: 901-550-8239
Mary Hamm, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6005 Park Ave, Memphis, TN 38119 Phone: 901-767-1136 Fax: 901-767-0476
Mrs. Pennie Smith Heath, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1840 Autumn Ave, Memphis, TN 38112 Phone: 901-725-2724 Fax: 901-725-2724
Ms. Rita B Range, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 Fax: 901-577-7427

Raphael Woodall, LCSW - Medicare Clinical Social Worker in Memphis, TN