Adam Michael Carlson, MSW, LCSW-A, LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Winterville, North Carolina. His current practice location is
4054 S Memorial Dr Ste K, Winterville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 561-8112.
Adam Michael Carlson is licensed to practice in North Carolina (license number C014117) 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 1366097883.
Healthcare Provider's Profile
| Full Name | Adam Michael Carlson |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 4054 S Memorial Dr Ste K, Winterville, 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. |
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NPI Data:
- NPI Number: 1366097883
- Provider Enumeration Date: 08/02/2019
- Last Update Date: 10/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921496621
- Enrollment ID: I20211029001357
Medical Identifiers
Medical identifiers for Adam Michael Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366097883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25691 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C014117 (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. Adam Michael Carlson allows following entities to bill medicare on his behalf.
| Entity Name | Pride In North Carolina Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760420186
PECOS PAC ID: 9638105869
Enrollment ID: O20050711000558 |
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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. Adam Michael Carlson 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 |
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Adam Michael Carlson, MSW, LCSW-A, LCAS-A
231 Commerce St,
Greenville, NC 27858-5029
Ph: (252) 321-8080 | Adam Michael Carlson, MSW, LCSW-A, LCAS-A
4054 S Memorial Dr Ste K,
Winterville, NC 28590-8690
Ph: (252) 561-8112 |
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