Jonathan Mccollum, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Maryville, Tennessee. His current practice location is
210 Simmons St, Maryville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 970-9800.
Jonathan Mccollum is licensed to practice in Tennessee (license number 6020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003002734.
Healthcare Provider's Profile
| Full Name | Jonathan Mccollum |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 210 Simmons St, Maryville, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1003002734
- Provider Enumeration Date: 09/17/2007
- Last Update Date: 06/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 9234354077
- Enrollment ID: I20140710001338
Medical Identifiers
Medical identifiers for Jonathan Mccollum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003002734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6020 (Tennessee) | 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. Jonathan Mccollum allows following entities to bill medicare on his behalf.
| Entity Name | Parkwest Medical Center |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1396739165
PECOS PAC ID: 8527965417
Enrollment ID: O20040429000423 |
|---|
| Entity Name | River Region Psychiatry Associates, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386891497
PECOS PAC ID: 1254491012
Enrollment ID: O20200616000462 |
|---|
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. Jonathan Mccollum 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 |
|---|
Jonathan Mccollum, LCSW
1451 Dowell Springs Blvd,
Knoxville, TN 37909-2441
Ph: (865) 374-7123 | Jonathan Mccollum, LCSW
210 Simmons St,
Maryville, TN 37801-4750
Ph: (865) 970-9800 |
Reviews and Comments