Mr Keith Poche, LCSW in Roanoke Rapids, NC - Medicare Social Worker Provider

Mr Keith Poche, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Roanoke Rapids, North Carolina. His current practice location is 608 Jackson St Ste 212, Roanoke Rapids, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 200-5217.

Mr Keith Poche is licensed to practice in North Carolina (license number C010128) 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 1518025956.

Contact Information

	Mr Keith Poche, LCSW
	608 Jackson St Ste 212, Roanoke Rapids, NC 27870-2600
	(919) 200-5217
	(252) 541-4002

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Keith Poche
Gender	Male
Speciality	Social Worker - Clinical
Location	608 Jackson St Ste 212, Roanoke Rapids, 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: 1518025956
Provider Enumeration Date: 12/05/2006
Last Update Date: 11/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4880987148
Enrollment ID: I20160725000256

Medical Identifiers

Medical identifiers for Mr Keith Poche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518025956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	C010128 (North Carolina)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCAS-22976 (North Carolina)	Secondary

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 Keith Poche allows following entities to bill medicare on his behalf.

Entity Name	Arthur Fenner Outreach Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144947235 PECOS PAC ID: 5294105292 Enrollment ID: O20230109002620

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 Keith Poche 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 Keith Poche, LCSW 608 Jackson St Ste 212, Roanoke Rapids, NC 27870-2600 Ph: (919) 200-5217	Mr Keith Poche, LCSW 608 Jackson St Ste 212, Roanoke Rapids, NC 27870-2600 Ph: (919) 200-5217

Reviews and Comments

Social Worker in Roanoke Rapids, NC

Stacie M Medlin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1704 Us Highway 158, Roanoke Rapids, NC 27870 Phone: 252-578-1986 Fax: 252-537-2273
Ms. Karen Lee Stimson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2066 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-536-5000 Fax: 252-536-2258
Marlo Denise Walker, LCSW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 730 Roanoke Ave, Suite A1, Roanoke Rapids, NC 27870 Phone: 719-761-1371
Paulette Renee Johnson-hedgepeth, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2064 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-536-5000 Fax: 252-536-2258
Tonya Watson, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Jackson St Ste B, Roanoke Rapids, NC 27870 Phone: 252-308-0744
Brittany Dunston, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 622 Roanoke Ave Ste A, Roanoke Rapids, NC 27870 Phone: 252-308-1247
Shelia Holt, LCAS Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 931 Davis Memorial Rd, Roanoke Rapids, NC 27870 Phone: 252-532-0296

Mr Keith Poche, LCSW - Medicare Clinical Social Worker in Roanoke Rapids, NC