Ebony C Booker, LCSW in College Park, GA - Medicare Social Worker Provider

Ebony C Booker, LCSW is a medicare enrolled "Social Worker - Clinical" provider in College Park, Georgia. Her current practice location is 135 Alicante St, College Park, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 707-5743.

Ebony C Booker is licensed to practice in Georgia (license number CSW006762) 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 1689288045.

Contact Information

	Ebony C Booker, LCSW
	135 Alicante St, College Park, GA 30349-8493
	(404) 707-5743
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ebony C Booker
Gender	Female
Speciality	Social Worker - Clinical
Location	135 Alicante St, College Park, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689288045
Provider Enumeration Date: 09/03/2020
Last Update Date: 09/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0244641108
Enrollment ID: I20201124003219

Medical Identifiers

Medical identifiers for Ebony C Booker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689288045	NPI	-	NPPES
NONE	Other		NONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006762 (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. Ebony C Booker allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

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. Ebony C Booker 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
Ebony C Booker, LCSW 135 Alicante St, College Park, GA 30349-8493 Ph: (404) 707-5743	Ebony C Booker, LCSW 135 Alicante St, College Park, GA 30349-8493 Ph: (404) 707-5743

Reviews and Comments

Social Worker in College Park, GA

Ennisia Tekeisha Henderson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 770-762-9190 Fax: 770-762-9101
Lisa M Hewitt-geer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5524 Old National Hwy, Building B, Suite 150-a, College Park, GA 30349 Phone: 404-541-3074 Fax: 404-209-6604
Joycelia Lewis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4827 Old National Hwy # 1216, College Park, GA 30337 Phone: 770-325-4070 Fax: 404-908-0340
Sheri Miller, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9190 Fax: 404-762-9101
Emma Domby, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9190
Dana Abraham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 John Wesley Ave, College Park, GA 30337 Phone: 404-762-9190

Ebony C Booker, LCSW - Medicare Clinical Social Worker in College Park, GA