Evelyn White Thames, in Charlotte, NC - Medicare Speech-Language Pathologist Provider

Evelyn White Thames, is a medicare enrolled "Speech-language Pathologist" provider in Charlotte, North Carolina. Her current practice location is 9407 Pastern Ct, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 779-2663.

Evelyn White Thames is licensed to practice in North Carolina (license number 2723) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558541219.

Contact Information

	Evelyn White Thames,
	9407 Pastern Ct, Charlotte, NC 28216-1761
	(704) 779-2663
	(704) 597-3734

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn White Thames
Gender	Female
Speciality	Speech-language Pathologist
Location	9407 Pastern Ct, Charlotte, 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: 1558541219
Provider Enumeration Date: 11/10/2007
Last Update Date: 12/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2466990932
Enrollment ID: I20240814004718

Medical Identifiers

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

Identifier	Type	State	Issuer
1558541219	NPI	-	NPPES
3011	Other	SC	SC STATE BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	30869 (California)	Secondary
235Z00000X	Speech-language Pathologist	3011 (South Carolina)	Secondary
235Z00000X	Speech-language Pathologist	2723 (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. Evelyn White Thames allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Slp Nc Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578341632 PECOS PAC ID: 8628427218 Enrollment ID: O20231207002435

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. Evelyn White Thames 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
Evelyn White Thames, 9407 Pastern Ct, Charlotte, NC 28216-1761 Ph: (704) 779-2663	Evelyn White Thames, 9407 Pastern Ct, Charlotte, NC 28216-1761 Ph: (704) 779-2663

Reviews and Comments

Speech-Language Pathologist in Charlotte, NC

Mrs. Christina Berkau Pope, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1116 Linda Ln, Charlotte, NC 28211 Phone: 919-815-7184
Mrs. Lindsay R Starr, MHS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2124 Chatham Ave, Charlotte, NC 28205 Phone: 314-703-8013
Primus Therapy Services, Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9407 Pastern Ct, Charlotte, NC 28216 Phone: 704-779-2663
Catherine Maria Graye, MS-CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1805 Mt Isle Harbor Dr, Charlotte, NC 28214 Phone: 704-277-0294
Jaesan Pc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3116 Milton Rd Ste F, Charlotte, NC 28215 Phone: 980-237-6226 Fax: 980-237-6288
Lindsay M White, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8484 Fax: 704-355-4231
Ms. Louise B. Felton, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2128 Kaybird Ln, Charlotte, NC 28270 Phone: 704-844-8031

Evelyn White Thames, - Medicare Speech-Language Pathologist in Charlotte, NC