Martha Sue Quattlebaum, in Raleigh, NC - Medicare Social Worker Provider

Martha Sue Quattlebaum, is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is 4030 Wake Forest Rd Ste 349, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 460-3392.

Martha Sue Quattlebaum is licensed to practice in North Carolina (license number C015041) 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 1255819645.

Contact Information

	Martha Sue Quattlebaum,
	4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010
	(910) 460-3392
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Martha Sue Quattlebaum
Gender	Female
Speciality	Social Worker - Clinical
Location	4030 Wake Forest Rd Ste 349, 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: 1255819645
Provider Enumeration Date: 07/30/2018
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7416338033
Enrollment ID: I20220713003920

Medical Identifiers

Medical identifiers for Martha Sue Quattlebaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255819645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C015041 (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. Martha Sue Quattlebaum allows following entities to bill medicare on her behalf.

Entity Name	Haymount Institute For Psychological Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528239993 PECOS PAC ID: 1153498415 Enrollment ID: O20080929000365

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. Martha Sue Quattlebaum 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
Martha Sue Quattlebaum, 907 Hay St Ste 201, Fayetteville, NC 28305-5352 Ph: (910) 728-9474	Martha Sue Quattlebaum, 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 Ph: (910) 460-3392

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

Martha Sue Quattlebaum, - Medicare Clinical Social Worker in Raleigh, NC