Theresa Durham Coman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Trenton, Florida. Her current practice location is
728 Ne 7th St, Trenton, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 487-0064.
Theresa Durham Coman is licensed to practice in Florida (license number SW16358) 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 1598995110.
Healthcare Provider's Profile
| Full Name | Theresa Durham Coman |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 728 Ne 7th St, Trenton, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598995110
- Provider Enumeration Date: 07/16/2009
- Last Update Date: 10/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931335783
- Enrollment ID: I20191230002156
Medical Identifiers
Medical identifiers for Theresa Durham Coman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598995110 | NPI | - | NPPES |
| 00079347 | Medicaid | NY | |
| 00400166001 | Other | | HEALTHNOW INTEGRATED |
| 00080664 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 00079347 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 00080664 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW16358 (Florida) | 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. Theresa Durham Coman allows following entities to bill medicare on her behalf.
| Entity Name | Florida Clinical Practice Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063463768
PECOS PAC ID: 0345146254
Enrollment ID: O20031211000099 |
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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. Theresa Durham Coman 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 |
|---|
Theresa Durham Coman, LCSW
4300 Sw 13th St,
Gainesville, FL 32608-4006
Ph: (352) 374-5600 | Theresa Durham Coman, LCSW
728 Ne 7th St,
Trenton, FL 32693-3637
Ph: (352) 487-0064 |
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