Gavin Theofield, LCSW in Matthews, NC - Medicare Social Worker Provider

Gavin Theofield, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Matthews, North Carolina. His current practice location is 855 Sam Newell Rd Ste 100, Matthews, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 360-3637.

Gavin Theofield is licensed to practice in North Carolina (license number C017506) 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 1043729965.

Contact Information

	Gavin Theofield, LCSW
	855 Sam Newell Rd Ste 100, Matthews, NC 28105-7593
	(704) 360-3637
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gavin Theofield
Gender	Male
Speciality	Social Worker - Clinical
Location	855 Sam Newell Rd Ste 100, Matthews, 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: 1043729965
Provider Enumeration Date: 09/22/2017
Last Update Date: 09/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1951836832
Enrollment ID: I20241202002034

Medical Identifiers

Medical identifiers for Gavin Theofield such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043729965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-5121 (Hawaii)	Secondary
1041C0700X	Social Worker - Clinical	C017506 (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. Gavin Theofield allows following entities to bill medicare on his behalf.

Entity Name	Integrative Wellness Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447760871 PECOS PAC ID: 8022341494 Enrollment ID: O20190618000993

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. Gavin Theofield 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
Gavin Theofield, LCSW 1561 Nunnelly Ln Apt 308, Fort Mill, SC 29708-0098 Ph: () -	Gavin Theofield, LCSW 855 Sam Newell Rd Ste 100, Matthews, NC 28105-7593 Ph: (704) 360-3637

Reviews and Comments

Social Worker in Matthews, NC

Amy Smith Medlin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105 Phone: 704-384-1261 Fax: 704-384-3145
Kenneth Arnold Sellinger, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12715 Vinings Creek Drive, Apt 816, Matthews, NC 28105 Phone: 704-496-1314
Mrs. Casey Elizabeth Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3021 Senna Dr Ste B, Matthews, NC 28105 Phone: 980-533-5649
Jasmine Sinclair, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Monroe Rd, Matthews, NC 28105 Phone: 910-964-4119
Mollie Sandler, LCSWA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1216 Mann Dr, Matthews, NC 28105 Phone: 508-521-2200 Fax: 508-584-2227
Luanne Brigman Imholt, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2030 Windsor Run Ln, Matthews, NC 28105 Phone: 704-443-6250 Fax: 704-443-6279

Gavin Theofield, LCSW - Medicare Clinical Social Worker in Matthews, NC