Mr Edward Joseph Korn Iii, LCSW, LADAC is a medicare enrolled "Social Worker - Clinical" provider in Trenton, Tennessee. His current practice location is
200 S College St, 315, Trenton, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 855-4950.
Mr Edward Joseph Korn Iii is licensed to practice in Tennessee (license number 5165) 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 1861729444.
Healthcare Provider's Profile
| Full Name | Mr Edward Joseph Korn Iii |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 200 S College St, Trenton, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861729444
- Provider Enumeration Date: 11/03/2009
- Last Update Date: 01/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 6507200094
- Enrollment ID: I20240223001499
Medical Identifiers
Medical identifiers for Mr Edward Joseph Korn Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861729444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1064 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5165 (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. Mr Edward Joseph Korn Iii allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20221116002565 |
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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. Mr Edward Joseph Korn Iii 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 |
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Mr Edward Joseph Korn Iii, LCSW, LADAC
Po Box 315,
Trenton, TN 38382-0315
Ph: (731) 855-4950 | Mr Edward Joseph Korn Iii, LCSW, LADAC
200 S College St, 315,
Trenton, TN 38382-1900
Ph: (731) 855-4950 |
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