Tadayah Pulliam, MSW, LCSW in Bloomfield, NJ - Medicare Social Worker Provider

Tadayah Pulliam, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bloomfield, New Jersey. Her current practice location is 299 Glenwood Ave Ste 201, Bloomfield, New Jersey. You can reach out to her office (for appointments etc.) via phone at (862) 704-4645.

Tadayah Pulliam is licensed to practice in New Jersey (license number 44SC06023700) 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 1760145007.

Contact Information

	Tadayah Pulliam, MSW, LCSW
	299 Glenwood Ave Ste 201, Bloomfield, NJ 07003-2445
	(862) 704-4645
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tadayah Pulliam
Gender	Female
Speciality	Social Worker - Clinical
Location	299 Glenwood Ave Ste 201, Bloomfield, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760145007
Provider Enumeration Date: 10/13/2021
Last Update Date: 09/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2961890447
Enrollment ID: I20211103000088

Medical Identifiers

Medical identifiers for Tadayah Pulliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760145007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC06023700 (New Jersey)	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. Tadayah Pulliam allows following entities to bill medicare on her behalf.

Entity Name	Senior Care Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563

Entity Name	Newark Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539

Entity Name	Orion Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952859522 PECOS PAC ID: 9931488053 Enrollment ID: O20161114000833

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. Tadayah Pulliam 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
Tadayah Pulliam, MSW, LCSW 299 Glenwood Ave Ste 201, Bloomfield, NJ 07003-2445 Ph: (862) 704-4645	Tadayah Pulliam, MSW, LCSW 299 Glenwood Ave Ste 201, Bloomfield, NJ 07003-2445 Ph: (862) 704-4645

Reviews and Comments

Social Worker in Bloomfield, NJ

Andrea B Goldberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 324 Belleville Ave, Bloomfield, NJ 07003 Phone: 973-748-0045 Fax: 973-718-2902
Mr. Anthony Hughes Kearney, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 Belleville Ave, Suite 22, Bloomfield, NJ 07003 Phone: 973-566-0890 Fax: 973-566-0896
Jacques F Maitre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Broad St, Suite 2, Bloomfield, NJ 07003 Phone: 862-621-9175
Trisha As Sanders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Broad Ter, Bloomfield, NJ 07003 Phone: 201-723-1776 Fax: 201-358-9141
Matthew Sidler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 324 Belleville Ave, Bloomfield, NJ 07003 Phone: 973-532-2132
Josephine Ponticello, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Ernst Ave, Bloomfield, NJ 07003 Phone: 973-338-6744 Fax: 973-338-6589
Joanna Henry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Donald St Apt D, Bloomfield, NJ 07003 Phone: 201-407-2027

Tadayah Pulliam, MSW, LCSW - Medicare Clinical Social Worker in Bloomfield, NJ