Ms Etta Serena Faison, LCSW in Goldsboro, NC - Medicare Social Worker Provider

Ms Etta Serena Faison, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. Her current practice location is 2803 Medical Campus Drive, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 214-8243.

Ms Etta Serena Faison is licensed to practice in North Carolina (license number C006290) 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 1255570024.

Contact Information

	Ms Etta Serena Faison, LCSW
	2803 Medical Campus Drive, Goldsboro, NC 27531-2301
	(910) 214-8243
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Etta Serena Faison
Gender	Female
Speciality	Social Worker - Clinical
Location	2803 Medical Campus Drive, Goldsboro, 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: 1255570024
Provider Enumeration Date: 02/18/2009
Last Update Date: 10/14/2025

Medicare PECOS Information:

PECOS PAC ID: 3870840861
Enrollment ID: I20180723001136

Medical Identifiers

Medical identifiers for Ms Etta Serena Faison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255570024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C006290 (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. Ms Etta Serena Faison allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

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. Ms Etta Serena Faison 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
Ms Etta Serena Faison, LCSW 383 Serenity Lake Dr, Clinton, NC 28328-8919 Ph: (910) 224-8017	Ms Etta Serena Faison, LCSW 2803 Medical Campus Drive, Goldsboro, NC 27531-2301 Ph: (910) 214-8243

Reviews and Comments

Social Worker in Goldsboro, NC

Jasmine Detrice Ellison, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1503 Wayne Memorial Dr Ste E, Goldsboro, NC 27534 Phone: 919-587-0001 Fax: 919-587-0007
Ms. Lakisha King, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Wayne Memorial Dr, Suite A & B, Goldsboro, NC 27534 Phone: 919-734-0753
Mr. Jerome L Ellis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952
Comatha B Johnson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 N Berkeley Blvd, Goldsboro, NC 27534 Phone: 919-751-0277 Fax: 919-751-0278
Pattie Lou Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676
Ms. Brianna Nicole Davis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Boyette Dr, Goldsboro, NC 27534 Phone: 919-394-3801
Mr. William Lowry Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119

Ms Etta Serena Faison, LCSW - Medicare Clinical Social Worker in Goldsboro, NC