Alan Robert Brailsford De Lopez, LCSW LCAS CSI is a medicare enrolled "Social Worker - Clinical" provider in Wilmington, North Carolina. He graduated from healthcare school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
201 N Front St Ste 704, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 769-9126.
Alan Robert Brailsford De Lopez is licensed to practice in North Carolina (license number C012166) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235600057.
Healthcare Provider's Profile
Full Name | Alan Robert Brailsford De Lopez |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 8 Years |
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Location | 201 N Front St Ste 704, Wilmington, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alan Robert Brailsford De Lopez graduated from medical school in 2016
NPI Data:
- NPI Number: 1235600057
- Provider Enumeration Date: 12/06/2018
- Last Update Date: 11/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052744539
- Enrollment ID: I20200520002237
Medical Identifiers
Medical identifiers for Alan Robert Brailsford De Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235600057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-23672 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C012166 (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. Alan Robert Brailsford De Lopez allows following entities to bill medicare on his behalf.
Entity Name | Coastal Horizons Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046 |
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Entity Name | Family Ties Of Brunswick, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831682665 PECOS PAC ID: 7911309430 Enrollment ID: O20210707000615 |
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Entity Name | La Serenidad Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427707660 PECOS PAC ID: 8426423161 Enrollment ID: O20230411000215 |
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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. Alan Robert Brailsford De Lopez 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 |
Alan Robert Brailsford De Lopez, LCSW LCAS CSI 201 N Front St Ste 704, Wilmington, NC 28401-5090 Ph: (910) 769-9126 | Alan Robert Brailsford De Lopez, LCSW LCAS CSI 201 N Front St Ste 704, Wilmington, NC 28401-5090 Ph: (910) 769-9126 |
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