Tequilla Brew-chann, in Ringgold, GA - Medicare Social Worker Provider

Tequilla Brew-chann, is a medicare enrolled "Social Worker - Clinical" provider in Ringgold, Georgia. Her current practice location is 75 Walker Industrial Dr, Ringgold, Georgia. You can reach out to her office (for appointments etc.) via phone at (877) 358-2998.

Tequilla Brew-chann is licensed to practice in Georgia (license number CSW008717) 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 1467209437.

Contact Information

	Tequilla Brew-chann,
	75 Walker Industrial Dr, Ringgold, GA 30736-7581
	(877) 358-2998
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tequilla Brew-chann
Gender	Female
Speciality	Social Worker - Clinical
Location	75 Walker Industrial Dr, Ringgold, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467209437
Provider Enumeration Date: 05/06/2024
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 0749622306
Enrollment ID: I20240528002578

Medical Identifiers

Medical identifiers for Tequilla Brew-chann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467209437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61014204 (Washington)	Secondary
1041C0700X	Social Worker - Clinical	103578 (Texas)	Secondary
1041C0700X	Social Worker - Clinical	LCSW95036 (California)	Secondary
1041C0700X	Social Worker - Clinical	CSW008717 (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. Tequilla Brew-chann allows following entities to bill medicare on her behalf.

Entity Name	Elu, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396222394 PECOS PAC ID: 7719228451 Enrollment ID: O20221028000989

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. Tequilla Brew-chann 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
Tequilla Brew-chann, 1101 W 40th St Unit 2225, Chattanooga, TN 37409-1379 Ph: (877) 358-2998	Tequilla Brew-chann, 75 Walker Industrial Dr, Ringgold, GA 30736-7581 Ph: (877) 358-2998

Reviews and Comments

Social Worker in Ringgold, GA

Ms. Lucilla Nash, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 214 Manor Dr, Ringgold, GA 30736 Phone: 423-400-6198 Fax: 706-937-6198
Ms. Karen K Porter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 313 Boynton Dr, Ringgold, GA 30736 Phone: 706-935-3926 Fax: 706-935-3930
Mrs. Annette Stout, LCSW, MAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Angel Ln, Ringgold, GA 30736 Phone: 706-313-5100
Dr. Tracy Melissa Holcombe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7831 Nashville St, Ringgold, GA 30736 Phone: 423-718-7562
Kathleen Ryan Bridges, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 89 Molly Ln, Ringgold, GA 30736 Phone: 706-618-0697

Tequilla Brew-chann, - Medicare Clinical Social Worker in Ringgold, GA