Travis Radcliff, in Winston Salem, NC - Medicare Nurse Practitioner

Travis Radcliff, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Winston Salem, North Carolina. His current practice location is 4115 Crestwood Cir, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (850) 699-3842.

Travis Radcliff is licensed to practice in North Carolina (license number 5021808) 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 1518580992.

Contact Information

	Travis Radcliff,
	4115 Crestwood Cir, Winston Salem, NC 27107-3788
	(850) 699-3842
	Not Available

Map and Direction

Provider's Profile

Full Name	Travis Radcliff
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4115 Crestwood Cir, Winston Salem, 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: 1518580992
Provider Enumeration Date: 05/20/2020
Last Update Date: 03/12/2025

Medicare PECOS Information:

PECOS PAC ID: 8527581818
Enrollment ID: I20250327001254

Medical Identifiers

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

Identifier	Type	State	Issuer
1518580992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	248905 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5021808 (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. Travis Radcliff allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811286156 PECOS PAC ID: 7416132428 Enrollment ID: O20110505000743

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. Travis Radcliff 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
Travis Radcliff, 4115 Crestwood Cir, Winston Salem, NC 27107-3788 Ph: () -	Travis Radcliff, 4115 Crestwood Cir, Winston Salem, NC 27107-3788 Ph: (850) 699-3842

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Kaila Haskins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
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Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622

Travis Radcliff, - Medicare Nurse Practitioner in Winston Salem, NC