Stephany Agudelo, in Havelock, NC - Medicare Social Worker Provider

Stephany Agudelo, is a medicare enrolled "Social Worker - Clinical" provider in Havelock, North Carolina. Her current practice location is 102 Verona Dive, Havelock, North Carolina. You can reach out to her office (for appointments etc.) via phone at (914) 497-7912.

Stephany Agudelo is licensed to practice in North Carolina (license number P010009) 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 1467825331.

Contact Information

	Stephany Agudelo,
	102 Verona Dive, Havelock, NC 28532
	(914) 497-7912
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephany Agudelo
Gender	Female
Speciality	Social Worker - Clinical
Location	102 Verona Dive, Havelock, 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: 1467825331
Provider Enumeration Date: 11/02/2015
Last Update Date: 11/02/2015

Medicare PECOS Information:

PECOS PAC ID: 6800203217
Enrollment ID: I20220216000640

Medical Identifiers

Medical identifiers for Stephany Agudelo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467825331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P010009 (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. Stephany Agudelo allows following entities to bill medicare on her behalf.

Entity Name	Jewish Board Of Family & Childrens Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689755662 PECOS PAC ID: 5092607333 Enrollment ID: O20040330000048

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. Stephany Agudelo 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
Stephany Agudelo, 102 Verona Dive, Havelock, NC 28532 Ph: (914) 439-2409	Stephany Agudelo, 102 Verona Dive, Havelock, NC 28532 Ph: (914) 497-7912

Reviews and Comments

Social Worker in Havelock, NC

Ms. Carol Harshman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 Stonebridge Sq, Havelock, NC 28532 Phone: 252-444-8877 Fax: 252-447-3900
Mr. David Louis Ellis, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 318a E Main St, Havelock, NC 28532 Phone: 252-646-1172
William Dees, LCSW, LCAS, CSS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4389 Beaufort Rd, Havelock, NC 28532 Phone: 252-531-9282
Mrs. Ethel Leary Wolford, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 213 Webb Blvd, Havelock, NC 28532 Phone: 252-447-3297
Mrs. Jessica Guelich, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Education Ln, Havelock, NC 28532 Phone: 252-259-1693
Ms. Wendy D Maddox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Building 87 Roosevelt Blvd, Psc Box 8009, Havelock, NC 28533 Phone: 252-466-3651

Stephany Agudelo, - Medicare Clinical Social Worker in Havelock, NC