Mr Dustin Scott Mock, LCSW in Clarksville, TN - Medicare Social Worker Provider

Mr Dustin Scott Mock, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Clarksville, Tennessee. His current practice location is 105 Otis Smith Dr, Clarksville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 320-9213.

Mr Dustin Scott Mock is licensed to practice in Tennessee (license number 9238) 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 1639902190.

Contact Information

	Mr Dustin Scott Mock, LCSW
	105 Otis Smith Dr, Clarksville, TN 37043-8940
	(931) 320-9213
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Dustin Scott Mock
Gender	Male
Speciality	Social Worker - Clinical
Location	105 Otis Smith Dr, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639902190
Provider Enumeration Date: 08/21/2024
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 3375079122
Enrollment ID: I20241204001366

Medical Identifiers

Medical identifiers for Mr Dustin Scott Mock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639902190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9238 (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. Mr Dustin Scott Mock allows following entities to bill medicare on his behalf.

Entity Name	Mental Health Cooperative, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083632897 PECOS PAC ID: 5496798399 Enrollment ID: O20050602000048

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124756085 PECOS PAC ID: 5991064420 Enrollment ID: O20230501001893

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. Mr Dustin Scott Mock 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
Mr Dustin Scott Mock, LCSW 3007 Timberdale Dr, Clarksville, TN 37042-8855 Ph: (712) 212-2476	Mr Dustin Scott Mock, LCSW 105 Otis Smith Dr, Clarksville, TN 37043-8940 Ph: (931) 320-9213

Reviews and Comments

Social Worker in Clarksville, TN

Joshua Forbess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2937 International Boulevard, Clarksville, TN 37043 Phone: 931-648-0656
Candace-tara C Cook, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 871 Professional Park Dr, Clarksville, TN 37040 Phone: 866-816-0433
Jill Brick, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4041 Sadie Grace Way, Clarksville, TN 37042 Phone: 815-280-9439
Trista Ann Price, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 801 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-5440
Ms. Veronica Laverne Chambers, B.S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 8th St, Clarksville, TN 37040 Phone: 931-920-7241 Fax: 931-920-7205
Angela D Taflinger, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 303 Fairview Ln, Clarksville, TN 37040 Phone: 931-245-6922 Fax: 931-274-0500
Rondell Harju, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 399 Dover Rd, Clarksville, TN 37042 Phone: 931-624-4080 Fax: 931-919-1246

Mr Dustin Scott Mock, LCSW - Medicare Clinical Social Worker in Clarksville, TN