Callie Gunn, in Port Huron, MI - Medicare Social Worker Provider

Callie Gunn, is a medicare enrolled "Social Worker - Clinical" provider in Port Huron, Michigan. Her current practice location is 3111 Electric Ave, Port Huron, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 985-8900.

Callie Gunn is licensed to practice in Michigan (license number 6801117154) 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 1003483215.

Contact Information

	Callie Gunn,
	3111 Electric Ave, Port Huron, MI 48060-8127
	(810) 985-8900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Callie Gunn
Gender	Female
Speciality	Social Worker - Clinical
Location	3111 Electric Ave, Port Huron, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003483215
Provider Enumeration Date: 06/07/2021
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0042666554
Enrollment ID: I20231019001322

Medical Identifiers

Medical identifiers for Callie Gunn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003483215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6851109796 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	6801117154 (Michigan)	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. Callie Gunn allows following entities to bill medicare on her behalf.

Entity Name	St Clair County Community Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783

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. Callie Gunn 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
Callie Gunn, 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: () -	Callie Gunn, 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 985-8900

Reviews and Comments

Social Worker in Port Huron, MI

Sara M Tavora, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896
Heather Stewart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mr. Robert Marshall Ii, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Kristen M Azzinaro, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mrs. Deborah Louise Kokoszka, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Ms. Erin Michelle Mcdaid, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2601 13th St, Port Huron, MI 48060 Phone: 810-987-9100 Fax: 810-987-9105

Callie Gunn, - Medicare Clinical Social Worker in Port Huron, MI