| Russell Meyers, LCAS-A | |
|
280 Salter Path Rd, Pine Knoll Shores, NC 28512-6120 | |
| (252) 240-0019 | |
| Not Available |
| Full Name | Russell Meyers |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 280 Salter Path Rd, Pine Knoll Shores, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235676743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-20883 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Easter Seals Ucp North Carolina And Virginia, Inc. | 7618161407 | 46 |
| Entity Name | Port Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497075618 PECOS PAC ID: 5193752681 Enrollment ID: O20050726001211 |
| Entity Name | Easter Seals Ucp North Carolina & Virginia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306167713 PECOS PAC ID: 7618161407 Enrollment ID: O20101105000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Meyers, LCAS-A 280 Salter Path Rd, Pine Knoll Shores, NC 28512-6120 Ph: (252) 240-0019 | Russell Meyers, LCAS-A 280 Salter Path Rd, Pine Knoll Shores, NC 28512-6120 Ph: (252) 240-0019 |
Mr. Richard Hunter Chadwick Iii, MS, LCAS, LCMHC-S Counselor Medicare: Accepting Medicare Assignments Practice Location: 320 Salter Path Rd Ste F, Pine Knoll Shores, NC 28512 Phone: 336-703-7706 | |
Margaret Flaherty Prevost, LPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Evergreen Ln, Pine Knoll Shores, NC 28512 Phone: 571-228-5083 |