Benton Drew Tolleson, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Kimberling City, Missouri. His current practice location is
11863 State Highway 13, Kimberling City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 739-1995.
Benton Drew Tolleson is licensed to practice in Missouri (license number 2022019269) 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 1477199503.
Healthcare Provider's Profile
| Full Name | Benton Drew Tolleson |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 11863 State Highway 13, Kimberling City, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477199503
- Provider Enumeration Date: 11/25/2019
- Last Update Date: 06/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 1052765195
- Enrollment ID: I20230923000519
Medical Identifiers
Medical identifiers for Benton Drew Tolleson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477199503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 2022019269 (Missouri) | 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. Benton Drew Tolleson allows following entities to bill medicare on his behalf.
| Entity Name | Fordland Clinic, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1881607612 PECOS PAC ID: 5597794552 Enrollment ID: O20050913000367 |
|---|
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. Benton Drew Tolleson 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 |
Benton Drew Tolleson, LMSW 1059 Barton Dr, Fordland, MO 65652-7350 Ph: (417) 767-2273 | Benton Drew Tolleson, LMSW 11863 State Highway 13, Kimberling City, MO 65686-8362 Ph: (417) 739-1995 |
Reviews and Comments