Ms Jessica Kayla Purvis, LCSW in Moultrie, GA - Medicare Social Worker Provider

Ms Jessica Kayla Purvis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Moultrie, Georgia. Her current practice location is 15 Hospital Park, Moultrie, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 891-9443.

Ms Jessica Kayla Purvis is licensed to practice in Georgia (license number CSW006894) 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 1790296879.

Contact Information

	Ms Jessica Kayla Purvis, LCSW
	15 Hospital Park, Moultrie, GA 31768-6772
	(229) 891-9443
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Jessica Kayla Purvis
Gender	Female
Speciality	Social Worker - Clinical
Location	15 Hospital Park, Moultrie, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790296879
Provider Enumeration Date: 10/17/2017
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 5395177810
Enrollment ID: I20191121000113

Medical Identifiers

Medical identifiers for Ms Jessica Kayla Purvis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790296879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW006894 (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. Ms Jessica Kayla Purvis 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

Entity Name	Colquitt Regional Psychiatry Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407459027 PECOS PAC ID: 4981012655 Enrollment ID: O20210419000060

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. Ms Jessica Kayla Purvis 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
Ms Jessica Kayla Purvis, LCSW Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131	Ms Jessica Kayla Purvis, LCSW 15 Hospital Park, Moultrie, GA 31768-6772 Ph: (229) 891-9443

Reviews and Comments

Social Worker in Moultrie, GA

Mr. Glenn Howard Ritchie, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 719 S Main St, Moultrie, GA 31768 Phone: 229-456-2022 Fax: 229-352-8792
Ms. Marsha Tillman Carlton, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788 Phone: 912-844-2250 Fax: 229-891-9372
David Griner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788 Phone: 229-798-2105 Fax: 229-798-2105
Kimberly N Marshall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1015 West Blvd, Moultrie, GA 31768 Phone: 229-985-4815
Benajah Marion, LCSW, LMFT Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 16 Tallokas Rd, Moultrie, GA 31768 Phone: 229-891-2819
Geoffrey Martin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1937 S Main St, Moultrie, GA 31768 Phone: 256-684-7779
Ashlie Leanne Avery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 11th Ave Se, Moultrie, GA 31768 Phone: 229-616-1044

Ms Jessica Kayla Purvis, LCSW - Medicare Clinical Social Worker in Moultrie, GA