Giavante Douglas, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Brownsville, Tennessee. Her current practice location is
19 N Court Sq Ste 5, Brownsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(731) 443-9653.
Giavante Douglas is licensed to practice in Tennessee (license number 9683) 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 1992490122.
Healthcare Provider's Profile
| Full Name | Giavante Douglas |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 19 N Court Sq Ste 5, Brownsville, Tennessee |
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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: 1992490122
- Provider Enumeration Date: 04/05/2023
- Last Update Date: 01/23/2026
Medicare PECOS Information:
- PECOS PAC ID: 9830539923
- Enrollment ID: I20240507001490
Medical Identifiers
Medical identifiers for Giavante Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992490122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 9683 (Tennessee) | Primary |
| 101YM0800X | Counselor - Mental Health | 11631 (Tennessee) | Secondary |
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. Giavante Douglas allows following entities to bill medicare on her behalf.
| Entity Name | Positive Living Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336614130 PECOS PAC ID: 8224367370 Enrollment ID: O20190916000575 |
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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. Giavante Douglas 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 |
Giavante Douglas, LMSW 1950 Highway 138, Mercer, TN 38392-7330 Ph: (731) 443-9653 | Giavante Douglas, LMSW 19 N Court Sq Ste 5, Brownsville, TN 38012-2501 Ph: (731) 443-9653 |
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