Ms Razhedatequila Eunicetage Sanford, LCSW LCAS CSI is a medicare enrolled "Community/behavioral Health" provider in Gastonia, North Carolina. Her current practice location is
848 Wingthorn Rose Dr, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(048) 982-3717.
Ms Razhedatequila Eunicetage Sanford is licensed to practice in North Carolina (license number C015805) 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 1306374160.
Healthcare Provider's Profile
Full Name | Ms Razhedatequila Eunicetage Sanford |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 848 Wingthorn Rose Dr, Gastonia, North Carolina |
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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: 1306374160
- Provider Enumeration Date: 05/24/2017
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264874775
- Enrollment ID: I20240530000384
Medical Identifiers
Medical identifiers for Ms Razhedatequila Eunicetage Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306374160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 25881 (North Carolina) | Secondary |
104100000X | Social Worker | C015805 (North Carolina) | Secondary |
251S00000X | Community/behavioral Health | C015805 (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. Ms Razhedatequila Eunicetage Sanford allows following entities to bill medicare on her behalf.
Entity Name | Brinkley Brown Mental Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821697293 PECOS PAC ID: 3173917010 Enrollment ID: O20220218001391 |
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Entity Name | Step Up Care Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841929395 PECOS PAC ID: 4486036878 Enrollment ID: O20220802000558 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
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Entity Name | Notary & Things Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801500541 PECOS PAC ID: 3375900210 Enrollment ID: O20230607002789 |
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Entity Name | Oasis Therapeutic Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952032898 PECOS PAC ID: 4880137199 Enrollment ID: O20240614002141 |
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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. Ms Razhedatequila Eunicetage Sanford 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 |
Ms Razhedatequila Eunicetage Sanford, LCSW LCAS CSI 848 Wingthorn Rose Dr, Gastonia, NC 28056-8087 Ph: (704) 898-2371 | Ms Razhedatequila Eunicetage Sanford, LCSW LCAS CSI 848 Wingthorn Rose Dr, Gastonia, NC 28056-8087 Ph: (048) 982-3717 |
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