Mr Jerry Marvin Utt, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kings Mountain, North Carolina. His current practice location is
301 East Parker Street, Kings Mountain, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 730-1591.
Mr Jerry Marvin Utt is licensed to practice in North Carolina (license number C000778) 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 1659553832.
Healthcare Provider's Profile
Full Name | Mr Jerry Marvin Utt |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 301 East Parker Street, Kings Mountain, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659553832
- Provider Enumeration Date: 11/29/2007
- Last Update Date: 11/29/2007
Medicare PECOS Information:
- PECOS PAC ID: 0547349912
- Enrollment ID: I20080509000524
Medical Identifiers
Medical identifiers for Mr Jerry Marvin Utt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659553832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C000778 (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. Mr Jerry Marvin Utt allows following entities to bill medicare on his behalf.
Entity Name | Phoenix Counseling Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396845004 PECOS PAC ID: 8426205584 Enrollment ID: O20120823000785 |
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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 Jerry Marvin Utt 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 Jerry Marvin Utt, LCSW 301 East Parker Street, Kings Mountain, NC 28086 Ph: (704) 730-1591 | Mr Jerry Marvin Utt, LCSW 301 East Parker Street, Kings Mountain, NC 28086 Ph: (704) 730-1591 |
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