Evelyn Ponce Quintero, LCSW-A is a medicare enrolled "Social Worker - Clinical" provider in Prospect Hill, North Carolina. Her current practice location is
322 Main St, Prospect Hill, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 562-3311.
Evelyn Ponce Quintero is licensed to practice in North Carolina (license number P015227) 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 1184212144.
Healthcare Provider's Profile
Full Name | Evelyn Ponce Quintero |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 322 Main St, Prospect Hill, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184212144
- Provider Enumeration Date: 01/05/2021
- Last Update Date: 01/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 7416362694
- Enrollment ID: I20210222000775
Medical Identifiers
Medical identifiers for Evelyn Ponce Quintero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184212144 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | P015227 (North Carolina) | Primary |
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 Ponce Quintero 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 Ponce Quintero, LCSW-A 322 Main St, Prospect Hill, NC 27314-9438 Ph: (336) 562-3311 | Evelyn Ponce Quintero, LCSW-A 322 Main St, Prospect Hill, NC 27314-9438 Ph: (336) 562-3311 |
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