Evelyn Nicole Roberts, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Georgia. Her current practice location is
3059 Edgewood Ct, Columbus, Georgia. You can reach out to her office (for appointments etc.) via phone at
(205) 240-0498.
Evelyn Nicole Roberts is licensed to practice in * (Not Available) (license number ) 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 1902264294.
Healthcare Provider's Profile
| Full Name | Evelyn Nicole Roberts |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3059 Edgewood Ct, Columbus, Georgia |
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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: 1902264294
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486050150
- Enrollment ID: I20210903000505
Medical Identifiers
Medical identifiers for Evelyn Nicole Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902264294 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Evelyn Nicole Roberts allows following entities to bill medicare on her behalf.
| Entity Name | New Horizons Community Service Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154315422 PECOS PAC ID: 5698683431 Enrollment ID: O20040506000089 |
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| Entity Name | Valley Healthcare System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952599623 PECOS PAC ID: 8628988276 Enrollment ID: O20040528000880 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747 |
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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. Evelyn Nicole 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 |
Evelyn Nicole Roberts, LCSW 3059 Edgewood Ct, Columbus, GA 31907-2593 Ph: (205) 240-0498 | Evelyn Nicole Roberts, LCSW 3059 Edgewood Ct, Columbus, GA 31907-2593 Ph: (205) 240-0498 |
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