Breanna Tuck Gammon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cresson, Texas. Her current practice location is
13509 Stage Coach Ln, Cresson, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 932-0108.
Breanna Tuck Gammon is licensed to practice in Texas (license number 108719) 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 1174337919.
Healthcare Provider's Profile
Full Name | Breanna Tuck Gammon |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 13509 Stage Coach Ln, Cresson, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174337919
- Provider Enumeration Date: 02/03/2025
- Last Update Date: 02/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557885837
- Enrollment ID: I20250408002084
Medical Identifiers
Medical identifiers for Breanna Tuck Gammon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174337919 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 108719 (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. Breanna Tuck Gammon allows following entities to bill medicare on her behalf.
Entity Name | Pecan Valley Mhmr Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891915708 PECOS PAC ID: 4688627706 Enrollment ID: O20050301000171 |
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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. Breanna Tuck Gammon 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 |
Breanna Tuck Gammon, LCSW 13509 Stage Coach Ln, Cresson, TX 76035-4227 Ph: (817) 932-0108 | Breanna Tuck Gammon, LCSW 13509 Stage Coach Ln, Cresson, TX 76035-4227 Ph: (817) 932-0108 |
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