<unavail> in Greensboro, NC - Medicare Counselor

is a medicare enrolled mental health clinic (Counselor - Mental Health) in Greensboro, North Carolina. The current practice location for is 1050 Revolution Mill Dr Ste 2, Greensboro, North Carolina. For appointments, you can reach them via phone at (336) 543-0159. The mailing address for is Po Box 14222, Greensboro, North Carolina and phone number is (336) 543-0159.

is licensed to practice in North Carolina (license number C007049). The clinic also participates in the medicare program and its NPI number is 1700313780. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (336) 543-0159.

Contact Information


	1050 Revolution Mill Dr Ste 2 Greensboro NC 27405-5053
	(336) 543-0159
	(336) 663-2906

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Counselor
Location	1050 Revolution Mill Dr Ste 2, Greensboro, North Carolina
Authorized Official Name and Position	Samaria M Colbert (OWNER)
Authorized Official Contact	3365430159
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 14222 Greensboro NC 27415-4222 Ph: (336) 543-0159	1050 Revolution Mill Dr Ste 2 Greensboro NC 27405-5053 Ph: (336) 543-0159

NPI Details:

NPI Number	1700313780
Provider Enumeration Date	05/22/2017
Last Update Date	12/18/2024
Certification Date	12/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3577830116
Medicare Enrollment ID	O20170601002090

Medical Identifiers

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

Identifier	Type	State	Issuer
1700313780	NPI	-	NPPES
1699077396	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C007049 (North Carolina)	Primary
101YP2500X	Counselor - Professional	C007049 (North Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Samaria M Colbert
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1699077396 PECOS PAC ID: 0143401455 Enrollment ID: I20110221000082

Reviews and Comments

Counselor in Greensboro, NC

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- Medicare Mental Health Clinic in Greensboro, NC