Tristan Robert Bushman, LCSW in Kokomo, IN - Medicare Social Worker Provider

Tristan Robert Bushman, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kokomo, Indiana. His current practice location is 322 N Main St, Kokomo, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 776-8555.

Tristan Robert Bushman is licensed to practice in Indiana (license number 34011137A) 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 1275372716.

Contact Information

	Tristan Robert Bushman, LCSW
	322 N Main St, Kokomo, IN 46901-4622
	(765) 776-8555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tristan Robert Bushman
Gender	Male
Speciality	Social Worker - Clinical
Location	322 N Main St, Kokomo, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275372716
Provider Enumeration Date: 05/23/2024
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9335681857
Enrollment ID: I20240611003744

Medical Identifiers

Medical identifiers for Tristan Robert Bushman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275372716	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34011137A (Indiana)	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. Tristan Robert Bushman allows following entities to bill medicare on his behalf.

Entity Name	Community Health Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554

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. Tristan Robert Bushman 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
Tristan Robert Bushman, LCSW 17374 Bigleaf Maple Blvd Apt 933, Westfield, IN 46074-5061 Ph: (317) 213-3570	Tristan Robert Bushman, LCSW 322 N Main St, Kokomo, IN 46901-4622 Ph: (765) 776-8555

Reviews and Comments

Social Worker in Kokomo, IN

Julie M Caldwell Harrell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1201 W Alto Rd Unit D, Kokomo, IN 46902 Phone: 765-450-9901
Matthew Peter Daleo, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1766 Carol Lynn Dr, Kokomo, IN 46901 Phone: 657-461-9733
Chloe 1 Woods, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3432 S Lafountain St Ste C, Kokomo, IN 46902 Phone: 765-286-5773
Cassandra Deaton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1766 Carol Lynn Dr, Kokomo, IN 46901 Phone: 317-727-6971
Aaron Goldsberry, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 322 N Main St, Kokomo, IN 46901 Phone: 765-453-8555
Tiffany Seekri, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1948 W Boulevard, Kokomo, IN 46902 Phone: 765-452-5437 Fax: 844-684-6185
Mrs. Carol Sue Spencer, LCSW, ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 315 S Berkley Rd, Kokomo, IN 46901 Phone: 765-457-9719 Fax: 765-457-5991

Tristan Robert Bushman, LCSW - Medicare Clinical Social Worker in Kokomo, IN