Jerry Timothy Elmore, LCAS-A is a
Community/behavioral Health based in Gastonia, North Carolina. Jerry Timothy Elmore is licensed to practice in * (Not Available) (license number ) and his current practice location is
2505 Court Dr, Gastonia, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 884-2060.
NPI number for Jerry Timothy Elmore is 1417386566 and his current mailing address is 631 Brawley School Rd, Ste 200b Pmb 301, Mooresville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417386566.
Healthcare Provider's Profile
| Full Name | Jerry Timothy Elmore |
|---|
| Gender | Male |
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| Speciality | Community/behavioral Health |
|---|
| Location | 2505 Court Dr, Gastonia, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417386566
- Provider Enumeration Date: 11/08/2013
- Last Update Date: 11/08/2013
Medical Identifiers
Medical identifiers for Jerry Timothy Elmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417386566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3527A (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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. Jerry Timothy Elmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerry Timothy Elmore, LCAS-A
631 Brawley School Rd, Ste 200b Pmb 301,
Mooresville, NC 28117-6208
Ph: (704) 884-2060 | Jerry Timothy Elmore, LCAS-A
2505 Court Dr,
Gastonia, NC 28054-2140
Ph: (704) 884-2060 |
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