Mary Imani Brooks, LCSW in Peachtree City, GA - Medicare Social Worker Provider

Mary Imani Brooks, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Peachtree City, Georgia. Her current practice location is 700 S Fairfield Dr, Peachtree City, Georgia. You can reach out to her office (for appointments etc.) via phone at (662) 341-2694.

Mary Imani Brooks is licensed to practice in Georgia (license number CSW006414) 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 1346754215.

Contact Information

	Mary Imani Brooks, LCSW
	700 S Fairfield Dr, Peachtree City, GA 30269
	(662) 341-2694
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Imani Brooks
Gender	Female
Speciality	Social Worker - Clinical
Location	700 S Fairfield Dr, Peachtree City, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346754215
Provider Enumeration Date: 11/29/2017
Last Update Date: 07/22/2020

Medicare PECOS Information:

PECOS PAC ID: 8426483991
Enrollment ID: I20200112000019

Medical Identifiers

Medical identifiers for Mary Imani Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346754215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC05909900 (New Jersey)	Secondary
1041C0700X	Social Worker - Clinical	I.1800895-SUPV (Ohio)	Secondary
1041C0700X	Social Worker - Clinical	14189 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	7400 (Tennessee)	Secondary
1041C0700X	Social Worker - Clinical	2144 (New Hampshire)	Secondary
1041C0700X	Social Worker - Clinical	CSW006414 (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. Mary Imani Brooks allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

Entity Name	Imagine New Beginnings Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972120970 PECOS PAC ID: 6709309180 Enrollment ID: O20250326001844

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. Mary Imani Brooks 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
Mary Imani Brooks, LCSW 700 S Fairfield Dr, Peachtree City, GA 30269-3922 Ph: (662) 341-2694	Mary Imani Brooks, LCSW 700 S Fairfield Dr, Peachtree City, GA 30269 Ph: (662) 341-2694

Reviews and Comments

Social Worker in Peachtree City, GA

Naomi L Duncan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Tivoli Gardens Rd, Peachtree City, GA 30269 Phone: 404-557-8931
Brittany Caylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60b Eastbrook Bnd, Peachtree City, GA 30269 Phone: 706-202-4009
Precious Parham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Westpark Dr Ste 120, Peachtree City, GA 30269 Phone: 855-284-7483 Fax: 617-807-0958
Brandon Duncan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Governors Sq Ste C, Peachtree City, GA 30269 Phone: 404-960-0749
Sharon Wallace Brooks, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Roundleaf Ct, Peachtree City, GA 30269 Phone: 770-401-2235 Fax: 770-212-2216
Ms. Diana Evans Berman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Eastbrook Bnd, Peachtree City, GA 30269 Phone: 440-487-2289
Mrs. Camber P Dougher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 Petrol Pt Ste 202, Peachtree City, GA 30269 Phone: 404-432-4245

Mary Imani Brooks, LCSW - Medicare Clinical Social Worker in Peachtree City, GA