Mrs Lolita Renee' Gilmore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Cavazos, Texas. Her current practice location is
590 Medical Center Road, Fort Cavazos, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 553-6830.
Mrs Lolita Renee' Gilmore is licensed to practice in Georgia (license number CSW008749) 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 1093238446.
Healthcare Provider's Profile
| Full Name | Mrs Lolita Renee' Gilmore |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 590 Medical Center Road, Fort Cavazos, Texas |
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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: 1093238446
- Provider Enumeration Date: 07/18/2017
- Last Update Date: 02/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618314576
- Enrollment ID: I20240327001934
Medical Identifiers
Medical identifiers for Mrs Lolita Renee' Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093238446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13716 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW008749 (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. Mrs Lolita Renee' Gilmore allows following entities to bill medicare on her 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: O20220315000829 |
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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. Mrs Lolita Renee' Gilmore 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 |
|---|
Mrs Lolita Renee' Gilmore, LCSW
201 Gracie Ct,
Harker Heights, TX 76548-7481
Ph: (254) 781-9900 | Mrs Lolita Renee' Gilmore, LCSW
590 Medical Center Road,
Fort Cavazos, TX 76544-4752
Ph: (254) 553-6830 |
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