Bethany Moore Polk, LCSW in Fort Sam Houston, TX - Medicare Social Worker Provider

Bethany Moore Polk, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Sam Houston, Texas. Her current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 916-7500.

Bethany Moore Polk is licensed to practice in Texas (license number 66357) 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 1619711645.

Contact Information

	Bethany Moore Polk, LCSW
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-7500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany Moore Polk
Gender	Female
Speciality	Social Worker - Clinical
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619711645
Provider Enumeration Date: 06/24/2024
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 4486190154
Enrollment ID: I20240718002997

Medical Identifiers

Medical identifiers for Bethany Moore Polk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619711645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	66357 (Texas)	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. Bethany Moore Polk allows following entities to bill medicare on her behalf.

Entity Name	Usawa Wellness Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588185821 PECOS PAC ID: 1557788148 Enrollment ID: O20240122001032

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. Bethany Moore Polk 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
Bethany Moore Polk, LCSW 3016 Greenshire Dr, Schertz, TX 78154-3708 Ph: (254) 289-7783	Bethany Moore Polk, LCSW 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7500

Reviews and Comments

Social Worker in Fort Sam Houston, TX

Jessica Fuller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-808-1859
Mrs. Kathryn Elaine Helland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Ms. Melisa Dawn Martinez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-1397
Ms. Janet K. Belton, L.I.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-221-6346
Takiya Rochelle Roscoe, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Donna Graf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 Phone: 210-916-4141
Mrs. Siniqua Copeland, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 706-304-3207

Bethany Moore Polk, LCSW - Medicare Clinical Social Worker in Fort Sam Houston, TX