Tina M Powell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Shady Dale, Georgia. Her current practice location is
580 Ross Rd, Shady Dale, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 312-4303.
Tina M Powell is licensed to practice in Georgia (license number CSW005146) 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 1720489263.
Healthcare Provider's Profile
Full Name | Tina M Powell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 580 Ross Rd, Shady Dale, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720489263
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 08/10/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567683550
- Enrollment ID: I20141015002490
Medical Identifiers
Medical identifiers for Tina M Powell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720489263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CSW005146 (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. Tina M Powell allows following entities to bill medicare on her behalf.
Entity Name | Mindful Transitions, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619188273 PECOS PAC ID: 7911083365 Enrollment ID: O20080325000624 |
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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. Tina M Powell 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 Powell, LCSW 580 Ross Rd, Shady Dale, GA 31085-3228 Ph: (770) 312-4303 | Tina M Powell, LCSW 580 Ross Rd, Shady Dale, GA 31085-3228 Ph: (770) 312-4303 |
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