Corletha Norman, in Conyers, GA - Medicare Social Worker Provider

Corletha Norman, is a medicare enrolled "Social Worker - Clinical" provider in Conyers, Georgia. Her current practice location is 2375 Wall St Se Ste 140, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 402-0650.

Corletha Norman is licensed to practice in Georgia (license number CSW005255) 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 1871897454.

Contact Information

	Corletha Norman,
	2375 Wall St Se Ste 140, Conyers, GA 30013-6702
	(404) 402-0650
	(404) 341-9834

Map and Direction

Healthcare Provider's Profile

Full Name	Corletha Norman
Gender	Female
Speciality	Social Worker - Clinical
Location	2375 Wall St Se Ste 140, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871897454
Provider Enumeration Date: 12/22/2010
Last Update Date: 01/24/2023

Medicare PECOS Information:

PECOS PAC ID: 2264790179
Enrollment ID: I20231026001268

Medical Identifiers

Medical identifiers for Corletha Norman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871897454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3934 (Kentucky)	Secondary
1041C0700X	Social Worker - Clinical	CSW005255 (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. Corletha Norman allows following entities to bill medicare on her behalf.

Entity Name	Crossroads Services Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528091063 PECOS PAC ID: 4486649977 Enrollment ID: O20040415000364

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. Corletha Norman 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
Corletha Norman, 1705 Highway 138 Se Unit 83365, Conyers, GA 30013-0162 Ph: (404) 402-0650	Corletha Norman, 2375 Wall St Se Ste 140, Conyers, GA 30013-6702 Ph: (404) 402-0650

Reviews and Comments

Social Worker in Conyers, GA

Mrs. Linda Bailey Hagan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1814 Lakefield Ct Se, Suite A, Conyers, GA 30013 Phone: 770-922-4770 Fax: 770-922-4993
Brandi Michelle Williams, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1808 Over Lake Dr Se Ste D, Conyers, GA 30013 Phone: 678-213-2194
Mrs. Ruthie Lee Culver-reed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 977a Taylor St Sw, Conyers, GA 30012 Phone: 770-918-6677
Miss Tairra Kemp, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 815 Cedar Lake Dr Se, Conyers, GA 30094 Phone: 167-855-7162
Dr. Rena M Glass-dixon, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 990 Iris Dr Sw Ste 103, Conyers, GA 30094 Phone: 770-369-9984 Fax: 770-369-9984
Nicole Johns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1540 Highway 138 Se, Conyers, GA 30013 Phone: 404-375-0916
Mrs. Jini F. P. Tyler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 997 Commerce Dr Sw, Suite 3a, Conyers, GA 30094 Phone: 770-361-8822

Corletha Norman, - Medicare Clinical Social Worker in Conyers, GA