Alexandra Willard, LCSWA, LCASA is a medicare enrolled "Social Worker - Clinical" provider in Durham, North Carolina. Her current practice location is
2670 Durham Chapel Hill Blvd, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 251-9009.
Alexandra Willard is licensed to practice in North Carolina (license number P010449) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255856886.
Healthcare Provider's Profile
| Full Name | Alexandra Willard |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2670 Durham Chapel Hill Blvd, Durham, 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: 1255856886
- Provider Enumeration Date: 08/04/2017
- Last Update Date: 08/04/2017
Medicare PECOS Information:
- PECOS PAC ID: 5698014470
- Enrollment ID: I20190222002260
Medical Identifiers
Medical identifiers for Alexandra Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255856886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 23532 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P010449 (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. Alexandra Willard allows following entities to bill medicare on her behalf.
| Entity Name | Duke University Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376574798
PECOS PAC ID: 2567372345
Enrollment ID: O20031126000274 |
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| Entity Name | Duke University Health System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558392977
PECOS PAC ID: 2567372345
Enrollment ID: O20031201000521 |
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| Entity Name | Carolina Outreach, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083723266
PECOS PAC ID: 0446449748
Enrollment ID: O20110118000335 |
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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. Alexandra Willard 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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Alexandra Willard, LCSWA, LCASA
408 Jones Ave,
Hillsborough, NC 27278-2217
Ph: (386) 956-9629 | Alexandra Willard, LCSWA, LCASA
2670 Durham Chapel Hill Blvd,
Durham, NC 27707-2829
Ph: (919) 251-9009 |
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