Mr Rezell Gore, MSW, LCSW, LCAS, CCS is a medicare enrolled "Social Worker - Clinical" provider in Aberdeen, North Carolina. He graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
212 Elm St, Aberdeen, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 209-4332.
Mr Rezell Gore is licensed to practice in North Carolina (license number C010441) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194126276.
Healthcare Provider's Profile
| Full Name | Mr Rezell Gore |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 212 Elm St, Aberdeen, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Rezell Gore graduated from medical school in 2014
NPI Data:
- NPI Number: 1194126276
- Provider Enumeration Date: 09/09/2014
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082929559
- Enrollment ID: I20190926000314
Medical Identifiers
Medical identifiers for Mr Rezell Gore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194126276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-20470 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | C010441 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010441 (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 Rezell Gore allows following entities to bill medicare on his behalf.
| Entity Name | Love Life Counseling Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497235626 PECOS PAC ID: 3678818929 Enrollment ID: O20190920000613 |
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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. Mr Rezell Gore 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 Rezell Gore, MSW, LCSW, LCAS, CCS Po Box 485, Red Springs, NC 28377-0485 Ph: (910) 209-4332 | Mr Rezell Gore, MSW, LCSW, LCAS, CCS 212 Elm St, Aberdeen, NC 28315-2802 Ph: (910) 209-4332 |
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