Latasha Shawntay Mcilwaine, MA, MHA, LPC, LCAS in Charlotte, NC

Latasha Shawntay Mcilwaine, MA, MHA, LPC, LCAS is a medicare enrolled "Counselor - Professional" provider in Charlotte, North Carolina. Her current practice location is 1409 East Blvd, Suite 6b, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 340-4666.

Latasha Shawntay Mcilwaine is licensed to practice in North Carolina (license number 6691) 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 1063631331.

Contact Information

	Latasha Shawntay Mcilwaine, MA, MHA, LPC, LCAS
	1409 East Blvd, Suite 6b, Charlotte, NC 28203-5817
	(704) 340-4666
	(704) 969-7298

Map and Direction

Healthcare Provider's Profile

Full Name	Latasha Shawntay Mcilwaine
Gender	Female
Speciality	Counselor - Professional
Location	1409 East Blvd, Charlotte, 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: 1063631331
Provider Enumeration Date: 04/25/2007
Last Update Date: 03/28/2009

Medicare PECOS Information:

PECOS PAC ID: 2163868753
Enrollment ID: I20240305004181

Medical Identifiers

Medical identifiers for Latasha Shawntay Mcilwaine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063631331	NPI	-	NPPES
6103719	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	6691 (North Carolina)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1296 (North Carolina)	Secondary

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. Latasha Shawntay Mcilwaine allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Forsyth Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702

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. Latasha Shawntay Mcilwaine 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
Latasha Shawntay Mcilwaine, MA, MHA, LPC, LCAS Po Box 743, Paw Creek, NC 28130-0743 Ph: (704) 340-4666	Latasha Shawntay Mcilwaine, MA, MHA, LPC, LCAS 1409 East Blvd, Suite 6b, Charlotte, NC 28203-5817 Ph: (704) 340-4666

Reviews and Comments

Counselor in Charlotte, NC

Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100
Allegra Shonta Cooper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 460, Charlotte, NC 28210 Phone: 980-302-8611 Fax: 980-302-8624
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921

Latasha Shawntay Mcilwaine, MA, MHA, LPC, LCAS - Medicare Counselor in Charlotte, NC