Theresa Michelle Grosse, LCSW in Goochland, VA - Medicare Social Worker Provider

Theresa Michelle Grosse, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Goochland, Virginia. Her current practice location is 3058 River Rd W, Goochland, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 556-5400.

Theresa Michelle Grosse is licensed to practice in Virginia (license number 0904013843) 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 1629718267.

Contact Information

	Theresa Michelle Grosse, LCSW
	3058 River Rd W, Goochland, VA 23063-3202
	(804) 556-5400
	(804) 556-5403

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Michelle Grosse
Gender	Female
Speciality	Social Worker - Clinical
Location	3058 River Rd W, Goochland, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629718267
Provider Enumeration Date: 03/31/2022
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 4688048721
Enrollment ID: I20230313002270

Medical Identifiers

Medical identifiers for Theresa Michelle Grosse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629718267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904013843 (Virginia)	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 Michelle Grosse allows following entities to bill medicare on her behalf.

Entity Name	Dominion Behavioral Healthcare Of Chesterfield
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093118051 PECOS PAC ID: 2365767217 Enrollment ID: O20150217001124

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 Michelle Grosse 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 Michelle Grosse, LCSW Po Box 189, Goochland, VA 23063-0189 Ph: (804) 556-5400	Theresa Michelle Grosse, LCSW 3058 River Rd W, Goochland, VA 23063-3202 Ph: (804) 556-5400

Reviews and Comments

Social Worker in Goochland, VA

Grace Stapleton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400
David R Dilzer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400 Fax: 804-556-5403
Catherine Freeman Heflin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1975 Elk Hill Rd, Goochland, VA 23063 Phone: 804-457-4866
Nichol Bowles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1975 Elk Hill Rd, Goochland, VA 23063 Phone: 434-906-6223
Richard L Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400
Ms. Kelsey Leigh Gilbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400
Holly L Blackburn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3058 River Rd W, Goochland, VA 23063 Phone: 804-556-5400 Fax: 804-556-5403

Theresa Michelle Grosse, LCSW - Medicare Clinical Social Worker in Goochland, VA