Thomas L Mccolloch, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Vonore, Tennessee. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice San Juan Health And Wellness Center Llc and his current practice location is
1206 Highway 411, Vonore, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 884-7271.
Thomas L Mccolloch is licensed to practice in New Mexico (license number C-10660) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588663322.
Healthcare Provider's Profile
| Full Name | Thomas L Mccolloch |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 30 Years |
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| Location | 1206 Highway 411, Vonore, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas L Mccolloch graduated from medical school in 1994
NPI Data:
- NPI Number: 1588663322
- Provider Enumeration Date: 07/14/2005
- Last Update Date: 09/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931105541
- Enrollment ID: I20191018001523
Medical Identifiers
Medical identifiers for Thomas L Mccolloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588663322 | NPI | - | NPPES |
| 11261845 | Other | | CAQH |
| 3921436 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | C-10660 (New Mexico) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| San Juan Health And Wellness Center Llc | 4284905308 | 5 |
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. Thomas L Mccolloch allows following entities to bill medicare on his behalf.
| Entity Name | San Juan Health And Wellness Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568998029
PECOS PAC ID: 4284905308
Enrollment ID: O20170809000144 |
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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. Thomas L Mccolloch 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 |
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Thomas L Mccolloch, LCSW
1009 Ridgeway Pl, Ste 100,
Farmington, NM 87401-2092
Ph: (423) 442-2622 | Thomas L Mccolloch, LCSW
1206 Highway 411,
Vonore, TN 37885-2455
Ph: (423) 884-7271 |
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