Mr Evan Mccoy Powell, LPCA, LCASA in Winston Salem, NC

Mr Evan Mccoy Powell, LPCA, LCASA is a medicare enrolled "Counselor - Professional" provider in Winston Salem, North Carolina. His current practice location is 4140 Cherry St, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 306-9620.

Mr Evan Mccoy Powell is licensed to practice in North Carolina (license number A11130) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174868848.

Contact Information

	Mr Evan Mccoy Powell, LPCA, LCASA
	4140 Cherry St, Winston Salem, NC 27105-2536
	(336) 306-9620
	(336) 245-8839

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Evan Mccoy Powell
Gender	Male
Speciality	Counselor - Professional
Location	4140 Cherry St, Winston Salem, 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: 1174868848
Provider Enumeration Date: 12/06/2012
Last Update Date: 01/13/2015

Medicare PECOS Information:

PECOS PAC ID: 9931558202
Enrollment ID: I20231212001933

Medical Identifiers

Medical identifiers for Mr Evan Mccoy Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174868848	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	2913-A (North Carolina)	Secondary
101YP2500X	Counselor - Professional	A11130 (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. Mr Evan Mccoy Powell allows following entities to bill medicare on his behalf.

Entity Name	Monarch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103

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. Mr Evan Mccoy Powell 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
Mr Evan Mccoy Powell, LPCA, LCASA 4140 Cherry St, Winston Salem, NC 27105-2536 Ph: (336) 306-9620	Mr Evan Mccoy Powell, LPCA, LCASA 4140 Cherry St, Winston Salem, NC 27105-2536 Ph: (336) 306-9620

Reviews and Comments

Counselor in Winston Salem, NC

Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523
Keren Happuch Williams, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260
Jeffrey Alan Simms, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8025 N Point Blvd Ste 209, Winston Salem, NC 27106 Phone: 866-700-1606 Fax: 866-338-5921
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999
Amanda Grace Connelly, Counselor Medicare: Medicare Enrolled Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620

Mr Evan Mccoy Powell, LPCA, LCASA - Medicare Counselor in Winston Salem, NC