Glen Gaugh, LMSW in Jackson, TN - Medicare Social Worker Provider

Glen Gaugh, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Tennessee. His current practice location is 24 Weatherford Sq, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 660-6730.

Glen Gaugh is licensed to practice in Tennessee (license number 9206) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003321902.

Contact Information

	Glen Gaugh, LMSW
	24 Weatherford Sq, Jackson, TN 38305-2202
	(731) 660-6730
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Glen Gaugh
Gender	Male
Speciality	Social Worker - Clinical
Location	24 Weatherford Sq, Jackson, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003321902
Provider Enumeration Date: 12/13/2017
Last Update Date: 12/13/2017

Medicare PECOS Information:

PECOS PAC ID: 9436590502
Enrollment ID: I20240508000278

Medical Identifiers

Medical identifiers for Glen Gaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003321902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9206 (Tennessee)	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. Glen Gaugh allows following entities to bill medicare on his behalf.

Entity Name	Positive Living Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336614130 PECOS PAC ID: 8224367370 Enrollment ID: O20190916000575

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. Glen Gaugh 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
Glen Gaugh, LMSW 24 Weatherford Sq, Jackson, TN 38305-2202 Ph: (731) 660-6730	Glen Gaugh, LMSW 24 Weatherford Sq, Jackson, TN 38305-2202 Ph: (731) 660-6730

Reviews and Comments

Social Worker in Jackson, TN

Sarah M Venable, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 N Liberty St, Jackson, TN 38301 Phone: 731-736-4400
Glen Tilghman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 374 N Parkway Ste B4, Jackson, TN 38305 Phone: 731-300-5131
Kathelene Marie White, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 E Lafayette St, Jackson, TN 38301 Phone: 901-930-7397
Francine Owens, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 238 Summar Dr, Jackson, TN 38301 Phone: 731-935-8200 Fax: 731-935-8327
James A Jones Iii, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 238 Summar Dr, Jackson, TN 38301 Phone: 731-935-8200 Fax: 731-935-8327
Mrs. Alymarie Taylor Laird, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 33 Murray Guard Dr, Jackson, TN 38305 Phone: 731-300-2627

Glen Gaugh, LMSW - Medicare Clinical Social Worker in Jackson, TN