Richard Allen Bare, LCSW-A, LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Jefferson, North Carolina. His current practice location is
101 Colvard St, Jefferson, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 246-4542.
Richard Allen Bare is licensed to practice in North Carolina (license number P011061) 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 1700329042.
Healthcare Provider's Profile
| Full Name | Richard Allen Bare |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 101 Colvard St, Jefferson, 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. |
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NPI Data:
- NPI Number: 1700329042
- Provider Enumeration Date: 11/18/2016
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870022163
- Enrollment ID: I20250131001089
Medical Identifiers
Medical identifiers for Richard Allen Bare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700329042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-23496 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P011061 (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. Richard Allen Bare allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Virginia Community Health Systems Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811967169
PECOS PAC ID: 4880502707
Enrollment ID: O20031106000290 |
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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. Richard Allen Bare 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 |
|---|
Richard Allen Bare, LCSW-A, LCAS-A
284 Executive Parkdr Ste 100,
Concord, NC 28025-1894
Ph: (704) 939-1100 | Richard Allen Bare, LCSW-A, LCAS-A
101 Colvard St,
Jefferson, NC 28640-9797
Ph: (336) 246-4542 |
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