Adam Persenaire, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Prairie Grove, Arkansas. His current practice location is
1441 General Fagan Dr, Prairie Grove, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 879-5916.
Adam Persenaire is licensed to practice in Arkansas (license number 9453-C) 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 1518795657.
Healthcare Provider's Profile
Full Name | Adam Persenaire |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1441 General Fagan Dr, Prairie Grove, Arkansas |
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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: 1518795657
- Provider Enumeration Date: 07/22/2024
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042747057
- Enrollment ID: I20250108000759
Medical Identifiers
Medical identifiers for Adam Persenaire such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518795657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 9453-C (Arkansas) | 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. Adam Persenaire allows following entities to bill medicare on his behalf.
Entity Name | Renewed Oaks Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710717392 PECOS PAC ID: 8729515242 Enrollment ID: O20241223001976 |
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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. Adam Persenaire 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 |
Adam Persenaire, LCSW 1441 General Fagan Dr, Prairie Grove, AR 72753-7001 Ph: () - | Adam Persenaire, LCSW 1441 General Fagan Dr, Prairie Grove, AR 72753-7001 Ph: (479) 879-5916 |
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