Mrs Carolyn H Burnett, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tenaha, Texas. Her current practice location is
157 Wall St, Tenaha, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 248-4673.
Mrs Carolyn H Burnett is licensed to practice in Texas (license number 39493) 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 1063561157.
Healthcare Provider's Profile
Full Name | Mrs Carolyn H Burnett |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 157 Wall St, Tenaha, Texas |
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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: 1063561157
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 10/28/2009
Medicare PECOS Information:
- PECOS PAC ID: 1052498177
- Enrollment ID: I20080414000232
Medical Identifiers
Medical identifiers for Mrs Carolyn H Burnett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063561157 | NPI | - | NPPES |
185639501 | Medicaid | TX | |
185639502 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 39493 (Texas) | 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. Mrs Carolyn H Burnett allows following entities to bill medicare on her behalf.
Entity Name | Supportive Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
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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. Mrs Carolyn H Burnett 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 |
Mrs Carolyn H Burnett, LCSW 900 County Road 3849, Joaquin, TX 75954-3342 Ph: (936) 554-2388 | Mrs Carolyn H Burnett, LCSW 157 Wall St, Tenaha, TX 75974-5413 Ph: (936) 248-4673 |
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