Ambrosia Spaulding, MSW, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Clarkton, North Carolina. Her current practice location is
68 Spaulding Ln, Clarkton, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 302-8494.
Ambrosia Spaulding is licensed to practice in North Carolina (license number C009552) 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 1962777284.
Healthcare Provider's Profile
| Full Name | Ambrosia Spaulding |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 68 Spaulding Ln, Clarkton, 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: 1962777284
- Provider Enumeration Date: 03/20/2012
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577869460
- Enrollment ID: I20160302001056
Medical Identifiers
Medical identifiers for Ambrosia Spaulding such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962777284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS20725 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW19175 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14711 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C009552 (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. Ambrosia Spaulding allows following entities to bill medicare on her behalf.
| Entity Name | Tmc Professional Counseling Service |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821706946
PECOS PAC ID: 2961865936
Enrollment ID: O20230824001833 |
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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. Ambrosia Spaulding 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 |
|---|
Ambrosia Spaulding, MSW, LCSW, LCAS
68 Spaulding Ln,
Clarkton, NC 28433-6003
Ph: (910) 302-8494 | Ambrosia Spaulding, MSW, LCSW, LCAS
68 Spaulding Ln,
Clarkton, NC 28433-6003
Ph: (910) 302-8494 |
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