Mrs Angela W Greene, LMSW, CAC I is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Charlotte, North Carolina. Her current practice location is
9711 David Taylor Dr Apt 204, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(980) 949-6846.
Mrs Angela W Greene is licensed to practice in South Carolina (license number 1211202) 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 1912246554.
Healthcare Provider's Profile
| Full Name | Mrs Angela W Greene |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 9711 David Taylor Dr Apt 204, Charlotte, North Carolina |
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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: 1912246554
- Provider Enumeration Date: 02/01/2013
- Last Update Date: 07/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 6305106394
- Enrollment ID: I20180213001062
Medical Identifiers
Medical identifiers for Mrs Angela W Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912246554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 9380 (South Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1211202 (South 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. Mrs Angela W Greene allows following entities to bill medicare on her behalf.
| Entity Name | Behavioral Health Solution Of The Carolinas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437782935 PECOS PAC ID: 7416370028 Enrollment ID: O20200714003123 |
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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. Mrs Angela W Greene 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 |
Mrs Angela W Greene, LMSW, CAC I 115 N Harvin St, 3rd Fl., Sumter, SC 29150-4956 Ph: (803) 775-6815 | Mrs Angela W Greene, LMSW, CAC I 9711 David Taylor Dr Apt 204, Charlotte, NC 28262-2370 Ph: (980) 949-6846 |
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