Marisha Larae Mathis, LCSW in Raleigh, NC - Medicare Social Worker Provider

Marisha Larae Mathis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is 4000 Wake Forest Rd Ste 200, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 865-8710.

Marisha Larae Mathis is licensed to practice in North Carolina (license number C009792) 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 1609253681.

Contact Information

	Marisha Larae Mathis, LCSW
	4000 Wake Forest Rd Ste 200, Raleigh, NC 27609-6859
	(919) 865-8710
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marisha Larae Mathis
Gender	Female
Speciality	Social Worker - Clinical
Location	4000 Wake Forest Rd Ste 200, Raleigh, 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: 1609253681
Provider Enumeration Date: 04/29/2015
Last Update Date: 11/01/2018

Medicare PECOS Information:

PECOS PAC ID: 8426340985
Enrollment ID: I20160705000052

Medical Identifiers

Medical identifiers for Marisha Larae Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609253681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C009792 (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. Marisha Larae Mathis allows following entities to bill medicare on her behalf.

Entity Name	Carolina Outreach, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083723266 PECOS PAC ID: 0446449748 Enrollment ID: O20110118000335

Entity Name	Thriveworks Clinical - North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669

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. Marisha Larae Mathis 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
Marisha Larae Mathis, LCSW 5010 Garrett Rd, Apt 534, Durham, NC 27707-5950 Ph: (919) 824-6016	Marisha Larae Mathis, LCSW 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609-6859 Ph: (919) 865-8710

Reviews and Comments

Social Worker in Raleigh, NC

Ms. Tonya R Gable, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-4163 Fax: 919-350-8509
Ms. Holly H Head, P-LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-7445 Fax: 919-350-8509
Carol D Kassey, MSW. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5850 Faringdon Pl, Raleigh, NC 27609 Phone: 919-872-9974 Fax: 919-872-9975
Miss Kimberly G. Kueny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 Navaho Dr, Suite 210, Raleigh, NC 27609 Phone: 919-872-1178 Fax: 919-872-1170
Casey Paganucci, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8105 Fayetteville Rd, Suite 121-2038, Raleigh, NC 27603 Phone: 919-364-5386
Amy Lynn Bryan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4000 Wake Forest Rd, Suite 200, Raleigh, NC 27609 Phone: 919-865-8710
Miss Darnesha Coleman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3125 Poplarwood Ct Ste 300, Raleigh, NC 27604 Phone: 919-790-8580

Marisha Larae Mathis, LCSW - Medicare Clinical Social Worker in Raleigh, NC