Khiana Gray Wyatt-locus, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cedar Point, North Carolina. Her current practice location is
722 Cedar Point Blvd # 227, Cedar Point, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 939-1110.
Khiana Gray Wyatt-locus is licensed to practice in North Carolina (license number C017289) 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 1912649351.
Healthcare Provider's Profile
Full Name | Khiana Gray Wyatt-locus |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 722 Cedar Point Blvd # 227, Cedar Point, 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: 1912649351
- Provider Enumeration Date: 04/07/2022
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729529953
- Enrollment ID: I20240916001414
Medical Identifiers
Medical identifiers for Khiana Gray Wyatt-locus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912649351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C017289 (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. Khiana Gray Wyatt-locus allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20230522003428 |
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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. Khiana Gray Wyatt-locus 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 |
Khiana Gray Wyatt-locus, LCSW 722 Cedar Point Blvd # 227, Cedar Point, NC 28584-8012 Ph: (910) 939-1110 | Khiana Gray Wyatt-locus, LCSW 722 Cedar Point Blvd # 227, Cedar Point, NC 28584-8012 Ph: (910) 939-1110 |
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