Terri L Ponder, LCSW in Tullahoma, TN - Medicare Social Worker Provider

Terri L Ponder, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tullahoma, Tennessee. Her current practice location is 1803 N Jackson St, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 461-1300.

Terri L Ponder is licensed to practice in Tennessee (license number 4623) 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 1679812895.

Contact Information

	Terri L Ponder, LCSW
	1803 N Jackson St, Tullahoma, TN 37388-2201
	(931) 461-1300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Terri L Ponder
Gender	Female
Speciality	Social Worker - Clinical
Location	1803 N Jackson St, Tullahoma, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679812895
Provider Enumeration Date: 02/07/2013
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0446495246
Enrollment ID: I20130327000428

Medical Identifiers

Medical identifiers for Terri L Ponder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679812895	NPI	-	NPPES
LSW4623	Other	TN	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	4623 (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. Terri L Ponder allows following entities to bill medicare on her behalf.

Entity Name	Medical Education Assistance Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795

Entity Name	Rutherford County Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114973237 PECOS PAC ID: 6305819483 Enrollment ID: O20040817000631

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. Terri L Ponder 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
Terri L Ponder, LCSW 1803 N Jackson St, Tullahoma, TN 37388-2201 Ph: (931) 461-1300	Terri L Ponder, LCSW 1803 N Jackson St, Tullahoma, TN 37388-2201 Ph: (931) 461-1300

Reviews and Comments

Social Worker in Tullahoma, TN

Mrs. Kathryn L Lamorte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-1330 Fax: 931-461-1303
Rachelle Lynette Summerhill, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Davidson St, Tullahoma, TN 37388 Phone: 931-393-5917
Mrs. Marilyn Derden Phelps, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 928 N Jackson St, Tullahoma, TN 37388 Phone: 931-454-2242 Fax: 931-454-1217
Steven Randall Partin, B.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 161 Jackson St, Tullahoma, TN 37388 Phone: 931-461-1332
Ms. Jeannie Pase, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 888-291-4357
Mr. Jeffery Paul Bates, B.A., J.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Davidson St, Tullahoma, TN 37388 Phone: 931-461-1349 Fax: 931-393-5902
Mrs. Julie J Childers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-1300

Terri L Ponder, LCSW - Medicare Clinical Social Worker in Tullahoma, TN