Andrea Ann-marie Bound, LCSW-A, LCASA is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, North Carolina. Her current practice location is
324 Person St, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 438-0939.
Andrea Ann-marie Bound is licensed to practice in North Carolina (license number P016223) 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 1114597325.
Healthcare Provider's Profile
| Full Name | Andrea Ann-marie Bound |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 324 Person St, Fayetteville, 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: 1114597325
- Provider Enumeration Date: 06/29/2021
- Last Update Date: 08/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183158256
- Enrollment ID: I20241112001996
Medical Identifiers
Medical identifiers for Andrea Ann-marie Bound such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114597325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-27253 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P016223 (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. Andrea Ann-marie Bound allows following entities to bill medicare on her behalf.
| Entity Name | Tri County Community Health Council Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427087709
PECOS PAC ID: 2163409558
Enrollment ID: O20040702000780 |
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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. Andrea Ann-marie Bound 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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Andrea Ann-marie Bound, LCSW-A, LCASA
324 Person St,
Fayetteville, NC 28301-5736
Ph: (910) 438-0939 | Andrea Ann-marie Bound, LCSW-A, LCASA
324 Person St,
Fayetteville, NC 28301-5736
Ph: (910) 438-0939 |
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