Mr Paul Ilolibi Medju, LCSW in Raleigh, NC - Medicare Social Worker Provider

Mr Paul Ilolibi Medju, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. His current practice location is 1526 Mark Massengill Dr, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 633-3792.

Mr Paul Ilolibi Medju is licensed to practice in North Carolina (license number C011360) 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 1407214919.

Contact Information

	Mr Paul Ilolibi Medju, LCSW
	1526 Mark Massengill Dr, Raleigh, NC 27610-4454
	(919) 633-3792
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Paul Ilolibi Medju
Gender	Male
Speciality	Social Worker - Clinical
Location	1526 Mark Massengill Dr, 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: 1407214919
Provider Enumeration Date: 01/29/2016
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4082097365
Enrollment ID: I20220818003557

Medical Identifiers

Medical identifiers for Mr Paul Ilolibi Medju such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407214919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C011360 (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 Paul Ilolibi Medju allows following entities to bill medicare on his behalf.

Entity Name	Blessing Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629741715 PECOS PAC ID: 1355724634 Enrollment ID: O20220818003485

Entity Name	The Enhancement Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396004602 PECOS PAC ID: 4183079064 Enrollment ID: O20231012001776

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 Paul Ilolibi Medju 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 Paul Ilolibi Medju, LCSW 1526 Mark Massengill Dr, Raleigh, NC 27610-4454 Ph: (919) 633-3792	Mr Paul Ilolibi Medju, LCSW 1526 Mark Massengill Dr, Raleigh, NC 27610-4454 Ph: (919) 633-3792

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

Mr Paul Ilolibi Medju, LCSW - Medicare Clinical Social Worker in Raleigh, NC