Charlotte Lee Roberts, LPC is a medicare enrolled "Counselor - Mental Health" provider in Carolina Shores, North Carolina. Her current practice location is
13 Court 3 Northwest Dr, Carolina Shores, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 578-1758.
Charlotte Lee Roberts is licensed to practice in North Carolina (license number 3347) 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 1386755007.
Healthcare Provider's Profile
| Full Name | Charlotte Lee Roberts |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 13 Court 3 Northwest Dr, Carolina Shores, 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. |
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NPI Data:
- NPI Number: 1386755007
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264875707
- Enrollment ID: I20240212002234
Medical Identifiers
Medical identifiers for Charlotte Lee Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386755007 | NPI | - | NPPES |
| 6103249 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 3347 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 3347 (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. Charlotte Lee Roberts allows following entities to bill medicare on her behalf.
| Entity Name | Walgren Counseling, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235422742
PECOS PAC ID: 9638348857
Enrollment ID: O20110804000381 |
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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. Charlotte Lee Roberts 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 |
|---|
Charlotte Lee Roberts, LPC
13 Court 3 Northwest Dr,
Carolina Shores, NC 28467-2607
Ph: (704) 578-1758 | Charlotte Lee Roberts, LPC
13 Court 3 Northwest Dr,
Carolina Shores, NC 28467-2607
Ph: (704) 578-1758 |
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