Amity Storm Hines, in Goldsboro, NC - Medicare Social Worker Provider

Amity Storm Hines, is a medicare enrolled "Social Worker - Clinical" provider in Goldsboro, North Carolina. Her current practice location is 208 Malloy St Ste B, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 520-6080.

Amity Storm Hines is licensed to practice in North Carolina (license number C014986) 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 1639790876.

Contact Information

	Amity Storm Hines,
	208 Malloy St Ste B, Goldsboro, NC 27534-4478
	(984) 520-6080
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amity Storm Hines
Gender	Female
Speciality	Social Worker - Clinical
Location	208 Malloy St Ste B, Goldsboro, 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: 1639790876
Provider Enumeration Date: 04/28/2020
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 7911389184
Enrollment ID: I20220804000811

Medical Identifiers

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

Identifier	Type	State	Issuer
1639790876	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P014387 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	C014986 (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. Amity Storm Hines allows following entities to bill medicare on her behalf.

Entity Name	Goshen Medical Center Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726

Entity Name	Pride In North Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558

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. Amity Storm Hines 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
Amity Storm Hines, 2670 Durham Chapel Hill Blvd, Durham, NC 27707-2829 Ph: () -	Amity Storm Hines, 208 Malloy St Ste B, Goldsboro, NC 27534-4478 Ph: (984) 520-6080

Reviews and Comments

Social Worker in Goldsboro, NC

Ms. Lakisha King, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Wayne Memorial Dr, Suite A & B, Goldsboro, NC 27534 Phone: 919-734-0753
Mr. Jerome L Ellis, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1050 Jabarrah Ave, Seymour Johnson Afb, Goldsboro, NC 27531 Phone: 919-722-0928 Fax: 919-722-1952
Comatha B Johnson, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 N Berkeley Blvd, Goldsboro, NC 27534 Phone: 919-751-0277 Fax: 919-751-0278
Pattie Lou Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676
Ms. Brianna Nicole Davis, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1606 Boyette Dr, Goldsboro, NC 27534 Phone: 919-394-3801
Mr. William Lowry Jr., Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119
Sarah Beth Jackson, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1401 W Ash St, Goldsboro, NC 27530 Phone: 919-947-8448

Amity Storm Hines, - Medicare Clinical Social Worker in Goldsboro, NC