Tina M Fountain, LCSW in Richmond, VA - Medicare Social Worker Provider

Tina M Fountain, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Virginia. Her current practice location is 2006 Bremo Rd, Suite 101, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 288-1881.

Tina M Fountain is licensed to practice in Virginia (license number 0904005723) 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 1417944992.

Contact Information

	Tina M Fountain, LCSW
	2006 Bremo Rd, Suite 101, Richmond, VA 23226-2438
	(804) 288-1881
	(804) 282-6413

Map and Direction

Healthcare Provider's Profile

Full Name	Tina M Fountain
Gender	Female
Speciality	Social Worker - Clinical
Location	2006 Bremo Rd, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417944992
Provider Enumeration Date: 09/30/2005
Last Update Date: 10/26/2016

Medicare PECOS Information:

PECOS PAC ID: 2668407495
Enrollment ID: I20050930000076

Medical Identifiers

Medical identifiers for Tina M Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417944992	NPI	-	NPPES
010162025	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904005723 (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. Tina M Fountain allows following entities to bill medicare on her behalf.

Entity Name	Insight Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801817150 PECOS PAC ID: 2860394178 Enrollment ID: O20040126000454

Entity Name	Elite Psychotherapy And Behavioral Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780133280 PECOS PAC ID: 2769763044 Enrollment ID: O20161228000733

Entity Name	Supportive Care Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520

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. Tina M Fountain 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
Tina M Fountain, LCSW 2006 Bremo Rd, Suite 101, Richmond, VA 23226-2438 Ph: (804) 288-1881	Tina M Fountain, LCSW 2006 Bremo Rd, Suite 101, Richmond, VA 23226-2438 Ph: (804) 288-1881

Reviews and Comments

Social Worker in Richmond, VA

Mr. J. Patrick Slifka, LCSW, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5002 Monument Avenue Suite 201, Richmond, VA 23230 Phone: 804-497-4676 Fax: 804-497-4677
Mrs. Hope L. Helton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Moorefield Park Dr, Suite 202, Richmond, VA 23236 Phone: 804-272-7611 Fax: 804-560-5574
Kristi Difilippo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900
Richara Shepperson-turner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 N Ninth St, Richmond, VA 23219 Phone: 804-780-7312
Sarah Metz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Broad St, Richmond, VA 23230 Phone: 804-353-4461
Melissa-irene Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2219 W Main St, Richmond, VA 23220 Phone: 804-234-3158
Kimberly Embe-mamong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 E Laburnum Ave Ste 3, Richmond, VA 23222 Phone: 804-277-9892

Tina M Fountain, LCSW - Medicare Clinical Social Worker in Richmond, VA