Miss Perry Townsend Fountain, MSW, LCSW in Raleigh, NC

Miss Perry Townsend Fountain, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is 815 Oberlin Rd Ste 200, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 322-4722.

Miss Perry Townsend Fountain is licensed to practice in North Carolina (license number CO14567) 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 1457904054.

Contact Information

	Miss Perry Townsend Fountain, MSW, LCSW
	815 Oberlin Rd Ste 200, Raleigh, NC 27605-1351
	(919) 322-4722
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Perry Townsend Fountain
Gender	Female
Speciality	Social Worker - Clinical
Location	815 Oberlin 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: 1457904054
Provider Enumeration Date: 07/23/2019
Last Update Date: 06/09/2022

Medicare PECOS Information:

PECOS PAC ID: 2860888542
Enrollment ID: I20220405002880

Medical Identifiers

Medical identifiers for Miss Perry Townsend Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457904054	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P013521 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	CO14567 (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. Miss Perry Townsend Fountain allows following entities to bill medicare on her behalf.

Entity Name	Avance Care Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196

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

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. Miss Perry Townsend Fountain 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
Miss Perry Townsend Fountain, MSW, LCSW 10900 World Trade Blvd, Raleigh, NC 27617-4202 Ph: (919) 237-1337	Miss Perry Townsend Fountain, MSW, LCSW 815 Oberlin Rd Ste 200, Raleigh, NC 27605-1351 Ph: (919) 322-4722

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

Miss Perry Townsend Fountain, MSW, LCSW - Medicare Clinical Social Worker in Raleigh, NC