Laura Hetrick, LISW-CP is a medicare enrolled "Social Worker" provider in Galivants Ferry, South Carolina. Her current practice location is
214 Fox Hunt Pl, Galivants Ferry, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 798-3555.
Laura Hetrick is licensed to practice in South Carolina (license number 16854) 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 1528498094.
Healthcare Provider's Profile
| Full Name | Laura Hetrick |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 214 Fox Hunt Pl, Galivants Ferry, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528498094
- Provider Enumeration Date: 11/20/2013
- Last Update Date: 10/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911431861
- Enrollment ID: I20241114001529
Medical Identifiers
Medical identifiers for Laura Hetrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528498094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 16854 (South Carolina) | Secondary |
| 104100000X | Social Worker | I.2405539 (Ohio) | Secondary |
| 104100000X | Social Worker | 16854 (South 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. Laura Hetrick allows following entities to bill medicare on her behalf.
| Entity Name | Supportive Care Of South Carolina Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417681412
PECOS PAC ID: 7618352451
Enrollment ID: O20220915001319 |
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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. Laura Hetrick 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 |
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Laura Hetrick, LISW-CP
310 Azalea Ave,
Marion, SC 29571-8042
Ph: (843) 798-3555 | Laura Hetrick, LISW-CP
214 Fox Hunt Pl,
Galivants Ferry, SC 29544-8072
Ph: (843) 798-3555 |
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