Tina Gulli, in South Daytona, FL - Medicare Social Worker Provider

Tina Gulli, is a medicare enrolled "Social Worker - Clinical" provider in South Daytona, Florida. Her current practice location is 134 Old Sunbeam Dr, South Daytona, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 846-4034.

Tina Gulli is licensed to practice in Florida (license number SW8101) 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 1174688931.

Contact Information

	Tina Gulli,
	134 Old Sunbeam Dr, South Daytona, FL 32119-4424
	(386) 846-4034
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tina Gulli
Gender	Female
Speciality	Social Worker - Clinical
Location	134 Old Sunbeam Dr, South Daytona, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174688931
Provider Enumeration Date: 12/22/2006
Last Update Date: 08/18/2014

Medicare PECOS Information:

PECOS PAC ID: 7315035193
Enrollment ID: I20071112000456

Medical Identifiers

Medical identifiers for Tina Gulli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174688931	NPI	-	NPPES
691568096	Medicaid	FL
691568098	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW8101 (Florida)	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. Tina Gulli allows following entities to bill medicare on her behalf.

Entity Name	Mcr Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213

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. Tina Gulli 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
Tina Gulli, 134 Old Sunbeam Dr, South Daytona, FL 32119-4424 Ph: (386) 846-4034	Tina Gulli, 134 Old Sunbeam Dr, South Daytona, FL 32119-4424 Ph: (386) 846-4034

Reviews and Comments

Social Worker in South Daytona, FL

Timothy Remmert, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1635 S Ridgewood Ave Ste 225, South Daytona, FL 32119 Phone: 386-788-5021 Fax: 386-788-5021
Ms. Jessica Hemesath, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, Ste. 32, South Daytona, FL 32119 Phone: 386-304-7600 Fax: 386-304-7620
Gerald Stephen Kyer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 Beville Rd, South Daytona, FL 32119 Phone: 386-788-1821 Fax: 386-788-6822
Mrs. Elizabeth Ann Ferguson, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1635 S Ridgewood Ave Ste 225, South Daytona, FL 32119 Phone: 386-788-5021 Fax: 386-788-5021
Regan Leigh Boggs, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-304-7600
Mark Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 906 Wells Dr, South Daytona, FL 32119 Phone: 386-451-7364 Fax: 386-322-0812

Tina Gulli, - Medicare Clinical Social Worker in South Daytona, FL