Mr Jack Wilson Rhyne, LCSW, LISW is a medicare enrolled "Social Worker - Clinical" provider in Cheraw, South Carolina. His current practice location is
812 State Rd, Cheraw, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 537-0961.
Mr Jack Wilson Rhyne is licensed to practice in South Carolina (license number 004880) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841270212.
Healthcare Provider's Profile
| Full Name | Mr Jack Wilson Rhyne |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 812 State Rd, Cheraw, 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: 1841270212
- Provider Enumeration Date: 01/20/2006
- Last Update Date: 03/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981893096
- Enrollment ID: I20110105000493
Medical Identifiers
Medical identifiers for Mr Jack Wilson Rhyne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841270212 | NPI | - | NPPES |
| 405127 | Medicaid | SC | |
| SW1107 | Medicaid | SC | |
| 1255Y | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | C002180 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 004880 (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. Mr Jack Wilson Rhyne allows following entities to bill medicare on his behalf.
| Entity Name | Caresouth Carolina Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280 |
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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. Mr Jack Wilson Rhyne 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 |
|---|
Mr Jack Wilson Rhyne, LCSW, LISW
Po Box 1090,
Hartsville, SC 29551-1090
Ph: (843) 857-0111 | Mr Jack Wilson Rhyne, LCSW, LISW
812 State Rd,
Cheraw, SC 29520
Ph: (843) 537-0961 |
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