Therapeutic Specialties Of North Carolina, Pllc is a medicare enrolled "Community/behavioral Health" provider in Henderson, North Carolina. Their current practice location is
104 Market St, Henderson, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(252) 431-4418.
Therapeutic Specialties Of North Carolina, Pllc is licensed to practice in North Carolina (license number 2332) and it also participates in the medicare program. Therapeutic Specialties Of North Carolina, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720381395.
Healthcare Provider's Profile
| Full Name | Therapeutic Specialties Of North Carolina, Pllc |
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| Type | Facility |
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| Speciality | Community/behavioral Health |
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| Location | 104 Market St, Henderson, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720381395
- Provider Enumeration Date: 12/21/2010
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284074394
- Enrollment ID: O20240506003230
Medical Identifiers
Medical identifiers for Therapeutic Specialties Of North Carolina, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720381395 | NPI | - | NPPES |
| 6107348 | Medicaid | NC | |
| 6107074 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 2348 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 2332 (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.
Therapeutic Specialties Of North Carolina, Pllc acts as a billing entity for following providers:
| Provider Name | Rhonda Rae Hollowell |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1134984016
PECOS PAC ID: 7315387438
Enrollment ID: I20240506003474 |
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| Provider Name | Jonna Mason Hall |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1346821949
PECOS PAC ID: 5597107128
Enrollment ID: I20240528001647 |
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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. Therapeutic Specialties Of North Carolina, Pllc 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 |
|---|
Therapeutic Specialties Of North Carolina, Pllc
104 Market Street,
Henderson, NC 27537
Ph: (252) 431-4418 | Therapeutic Specialties Of North Carolina, Pllc
104 Market St,
Henderson, NC 27537-3751
Ph: (252) 431-4418 |
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