Tunisia London, LICSW-S, PIP in Spanish Fort, AL - Medicare Social Worker Provider

Tunisia London, LICSW-S, PIP is a medicare enrolled "Social Worker - Clinical" provider in Spanish Fort, Alabama. Her current practice location is 34124 Burwood Dr, Spanish Fort, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 401-5602.

Tunisia London is licensed to practice in Florida (license number SW19449) 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 1902398274.

Contact Information

	Tunisia London, LICSW-S, PIP
	34124 Burwood Dr, Spanish Fort, AL 36527-7301
	(251) 401-5602
	(251) 340-2596

Map and Direction

Healthcare Provider's Profile

Full Name	Tunisia London
Gender	Female
Speciality	Social Worker - Clinical
Location	34124 Burwood Dr, Spanish Fort, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902398274
Provider Enumeration Date: 06/03/2018
Last Update Date: 06/01/2024

Medicare PECOS Information:

PECOS PAC ID: 5193150712
Enrollment ID: I20220308001663

Medical Identifiers

Medical identifiers for Tunisia London such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902398274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1421-4097C (Alabama)	Secondary
1041C0700X	Social Worker - Clinical	SW19449 (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. Tunisia London allows following entities to bill medicare on her behalf.

Entity Name	Tea Of Life Holistic Behavioral Health Therapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275284481 PECOS PAC ID: 5395139331 Enrollment ID: O20220308001461

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. Tunisia London 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
Tunisia London, LICSW-S, PIP 34124 Burwood Dr, Spanish Fort, AL 36527-7301 Ph: (251) 401-5602	Tunisia London, LICSW-S, PIP 34124 Burwood Dr, Spanish Fort, AL 36527-7301 Ph: (251) 401-5602

Tunisia London, LICSW-S, PIP - Medicare Clinical Social Worker in Spanish Fort, AL