Mr Johnathon Raymond Rush, LCSW in Fayetteville, NC

Mr Johnathon Raymond Rush, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, North Carolina. His current practice location is 1248 Fort Bragg Rd, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 759-4852.

Mr Johnathon Raymond Rush is licensed to practice in North Carolina (license number C017313) 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 1376111740.

Contact Information

	Mr Johnathon Raymond Rush, LCSW
	1248 Fort Bragg Rd, Fayetteville, NC 28305-4981
	(910) 759-4852
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Johnathon Raymond Rush
Gender	Male
Speciality	Social Worker - Clinical
Location	1248 Fort Bragg Rd, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376111740
Provider Enumeration Date: 06/14/2021
Last Update Date: 08/06/2025

Medicare PECOS Information:

PECOS PAC ID: 1254864846
Enrollment ID: I20241105000373

Medical Identifiers

Medical identifiers for Mr Johnathon Raymond Rush such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376111740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C017313 (North Carolina)	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. Mr Johnathon Raymond Rush allows following entities to bill medicare on his behalf.

Entity Name	Inspiring Change Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982251104 PECOS PAC ID: 0244630713 Enrollment ID: O20210621002880

Entity Name	Painting Miracles Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629851605 PECOS PAC ID: 3476991332 Enrollment ID: O20240410004172

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. Mr Johnathon Raymond Rush 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
Mr Johnathon Raymond Rush, LCSW 3205 Cragburn Pl, Fayetteville, NC 28306-6404 Ph: (513) 267-9002	Mr Johnathon Raymond Rush, LCSW 1248 Fort Bragg Rd, Fayetteville, NC 28305-4981 Ph: (910) 759-4852

Reviews and Comments

Social Worker in Fayetteville, NC

Mrs. Maria Rivera, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3421 Murchison Rd, Fayetteville, NC 28311 Phone: 910-630-6300
Bryan Holliday, LCSWA, CSAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4602 Sterling St, Fayetteville, NC 28306 Phone: 910-551-8552
Mrs. Tracey B Natale, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314 Phone: 910-339-0400 Fax: 910-339-0396
Laura Jackson, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314 Phone: 910-339-0400 Fax: 910-339-0396
Ms. Mitchell Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120
Carl T Cogdell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 252-717-5043
Morgan Okorn, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 806 Hay St, Fayetteville, NC 28305 Phone: 910-860-7008 Fax: 910-221-9006

Mr Johnathon Raymond Rush, LCSW - Medicare Clinical Social Worker in Fayetteville, NC