Phyllis Ann Potter, MS, LPC, NCC, RPT in Fayetteville, NC

Phyllis Ann Potter, MS, LPC, NCC, RPT is a medicare enrolled "Counselor - Mental Health" provider in Fayetteville, North Carolina. Her current practice location is 930 Cambridge St, Suite 109, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 484-2202.

Phyllis Ann Potter is licensed to practice in North Carolina (license number 10432) 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 1508294166.

Contact Information

	Phyllis Ann Potter, MS, LPC, NCC, RPT
	930 Cambridge St, Suite 109, Fayetteville, NC 28303-9625
	(910) 484-2202
	(910) 484-2203

Map and Direction

Healthcare Provider's Profile

Full Name	Phyllis Ann Potter
Gender	Female
Speciality	Counselor - Mental Health
Location	930 Cambridge St, Fayetteville, 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: 1508294166
Provider Enumeration Date: 10/17/2013
Last Update Date: 06/30/2016

Medicare PECOS Information:

PECOS PAC ID: 8527594837
Enrollment ID: I20241210004038

Medical Identifiers

Medical identifiers for Phyllis Ann Potter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508294166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	10432 (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. Phyllis Ann Potter allows following entities to bill medicare on her behalf.

Entity Name	Caring Hearts Professional Counseling Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003108200 PECOS PAC ID: 1052752110 Enrollment ID: O20240507004339

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. Phyllis Ann Potter 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
Phyllis Ann Potter, MS, LPC, NCC, RPT Po Box 1734, Clinton, NC 28329-1734 Ph: (910) 299-0848	Phyllis Ann Potter, MS, LPC, NCC, RPT 930 Cambridge St, Suite 109, Fayetteville, NC 28303-9625 Ph: (910) 484-2202

Reviews and Comments

Counselor in Fayetteville, NC

Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942

Phyllis Ann Potter, MS, LPC, NCC, RPT - Medicare Counselor in Fayetteville, NC