Thom Edd Barry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Erwin, Tennessee. His current practice location is
218 N Main Ave, Erwin, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 743-1470.
Thom Edd Barry is licensed to practice in Tennessee (license number 7131) 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 1396240347.
Healthcare Provider's Profile
| Full Name | Thom Edd Barry |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 218 N Main Ave, Erwin, 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: 1396240347
- Provider Enumeration Date: 03/29/2018
- Last Update Date: 10/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 0042643827
- Enrollment ID: I20191209002850
Medical Identifiers
Medical identifiers for Thom Edd Barry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396240347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7131 (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. Thom Edd Barry 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. Thom Edd Barry 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 |
|---|
Thom Edd Barry, LCSW
1167 Spratlin Park Dr,
Gray, TN 37615-6205
Ph: (423) 467-3600 | Thom Edd Barry, LCSW
218 N Main Ave,
Erwin, TN 37650-1234
Ph: (423) 743-1470 |
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