Mrs Selina Joy Popovich-evans, LMSW,CACII is a medicare enrolled "Social Worker" provider in Valdosta, Georgia. Her current practice location is
3120 N Oak Street Ext, Suite C, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 386-3537.
Mrs Selina Joy Popovich-evans is licensed to practice in Georgia (license number MSW004127) 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 1356430193.
Healthcare Provider's Profile
| Full Name | Mrs Selina Joy Popovich-evans |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 3120 N Oak Street Ext, Valdosta, Georgia |
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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: 1356430193
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618356437
- Enrollment ID: I20220623003017
Medical Identifiers
Medical identifiers for Mrs Selina Joy Popovich-evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356430193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1735 (Georgia) | Primary |
| 104100000X | Social Worker | MSW004127 (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 Selina Joy Popovich-evans allows following entities to bill medicare on her behalf.
| Entity Name | Bmsc Az Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497201875
PECOS PAC ID: 4385929173
Enrollment ID: O20201216001582 |
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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 Selina Joy Popovich-evans 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 Selina Joy Popovich-evans, LMSW,CACII
4877 Union Rd,
Tifton, GA 31794-8536
Ph: () - | Mrs Selina Joy Popovich-evans, LMSW,CACII
3120 N Oak Street Ext, Suite C,
Valdosta, GA 31602-1007
Ph: (229) 386-3537 |
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