Maxine Tibbetts, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Bunnlevel, North Carolina. Her current practice location is
749 Lasater Rd, Bunnlevel, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 257-8778.
Maxine Tibbetts is licensed to practice in North Carolina (license number 15327) 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 1073992772.
Healthcare Provider's Profile
Full Name | Maxine Tibbetts |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 749 Lasater Rd, Bunnlevel, 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: 1073992772
- Provider Enumeration Date: 05/27/2015
- Last Update Date: 10/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183151780
- Enrollment ID: I20241220000888
Medical Identifiers
Medical identifiers for Maxine Tibbetts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073992772 | NPI | - | NPPES |
1073992772 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 15327 (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. Maxine Tibbetts allows following entities to bill medicare on her behalf.
Entity Name | Dunndeal Counseling Services Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1255055125 PECOS PAC ID: 3274060876 Enrollment ID: O20241220000681 |
---|
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. Maxine Tibbetts 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 |
Maxine Tibbetts, LCMHC 749 Lasater Rd, Bunnlevel, NC 28323-9137 Ph: (910) 257-8778 | Maxine Tibbetts, LCMHC 749 Lasater Rd, Bunnlevel, NC 28323-9137 Ph: (910) 257-8778 |
Reviews and Comments