Andre Spencer Vann,,MSW, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Louisburg, North Carolina. His current practice location is
202 S Main St, Louisburg, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 435-8164.
Andre Spencer Vann is licensed to practice in North Carolina (license number C008394) 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 1881943157.
Healthcare Provider's Profile
Full Name | Andre Spencer Vann |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 202 S Main St, Louisburg, 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. |
NPI Data:
- NPI Number: 1881943157
- Provider Enumeration Date: 09/02/2012
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294979969
- Enrollment ID: I20130918000865
Medical Identifiers
Medical identifiers for Andre Spencer Vann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881943157 | NPI | - | NPPES |
179YX | Other | NC | BCBS |
6112368 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2658 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C008394 (North Carolina) | Primary |
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. Andre Spencer Vann 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 |
Andre Spencer Vann,,MSW, LCSW, LCAS 308 E Spring St, Wake Forest, NC 27587-2640 Ph: (919) 398-5512 | Andre Spencer Vann,,MSW, LCSW, LCAS 202 S Main St, Louisburg, NC 27549-2522 Ph: (919) 435-8164 |
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