Tatavia Butler, LCSW in Stockton, CA - Medicare Social Worker Provider

Tatavia Butler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Stockton, California. Her current practice location is 7707 South Austin Rd, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (818) 570-6752.

Tatavia Butler is licensed to practice in California (license number 101952) 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 1629311394.

Contact Information

	Tatavia Butler, LCSW
	7707 South Austin Rd, Stockton, CA 95215-8312
	(818) 570-6752
	(818) 570-6752

Map and Direction

Healthcare Provider's Profile

Full Name	Tatavia Butler
Gender	Female
Speciality	Social Worker - Clinical
Location	7707 South Austin Rd, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629311394
Provider Enumeration Date: 04/01/2013
Last Update Date: 10/27/2022

Medicare PECOS Information:

PECOS PAC ID: 3476997461
Enrollment ID: I20240217000708

Medical Identifiers

Medical identifiers for Tatavia Butler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629311394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	101952 (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. Tatavia Butler allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Tatavia Butler 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
Tatavia Butler, LCSW Po Box 3245, Hayward, CA 94540-3245 Ph: (405) 431-0833	Tatavia Butler, LCSW 7707 South Austin Rd, Stockton, CA 95215-8312 Ph: (818) 570-6752

Reviews and Comments

Social Worker in Stockton, CA

Donna L Bickham, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-953-7313 Fax: 209-468-9633
Krystal Madeline Avila, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Stockton, CA 95207 Phone: 209-465-1080
Shani Dharmasena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1545 Saint Marks Plz, Stockton, CA 95207 Phone: 209-741-7888
Ms. Carol Jeanne Willmett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8296 Fax: 209-468-3516
Tiffany Dewitte, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-7462
Mrs. Torrie Alyn-hughes Piasecki, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-598-6903
Grace Disilvestro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln Ste 125, Stockton, CA 95207 Phone: 209-465-1080 Fax: 209-465-2709

Tatavia Butler, LCSW - Medicare Clinical Social Worker in Stockton, CA