Asia Natashia Fairley, LCMHC in Concord, NC - Medicare Counselor Provider

Asia Natashia Fairley, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Concord, North Carolina. Her current practice location is 925 Bradley St Ne, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-3637.

Asia Natashia Fairley is licensed to practice in North Carolina (license number 10559) 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 1407257504.

Contact Information

	Asia Natashia Fairley, LCMHC
	925 Bradley St Ne, Concord, NC 28025-0911
	(704) 360-3637
	(704) 200-9829

Map and Direction

Healthcare Provider's Profile

Full Name	Asia Natashia Fairley
Gender	Female
Speciality	Counselor - Mental Health
Location	925 Bradley St Ne, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407257504
Provider Enumeration Date: 09/08/2014
Last Update Date: 01/05/2024

Medicare PECOS Information:

PECOS PAC ID: 5991157885
Enrollment ID: I20240116003404

Medical Identifiers

Medical identifiers for Asia Natashia Fairley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407257504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	10559 (North Carolina)	Primary
101YP2500X	Counselor - Professional	10559 (North Carolina)	Secondary

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. Asia Natashia Fairley allows following entities to bill medicare on her behalf.

Entity Name	Integrative Wellness Solutions Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447760871 PECOS PAC ID: 8022341494 Enrollment ID: O20190618000993

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. Asia Natashia Fairley 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
Asia Natashia Fairley, LCMHC 925 Bradley St Ne, Concord, NC 28025-0911 Ph: (704) 360-3637	Asia Natashia Fairley, LCMHC 925 Bradley St Ne, Concord, NC 28025-0911 Ph: (704) 360-3637

Reviews and Comments

Counselor in Concord, NC

Ms. Amber Medlin Glover, LCSWA, LCAS Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333
Bridgette Jeannine Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100
Teresa Mcgee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Copperfield Blvd Ne Ste 105, Concord, NC 28025 Phone: 704-332-9001 Fax: 704-332-0124
Laurie Ann Pitts, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 Church St. North, Concord, NC 28025 Phone: 704-280-0066
Heather Tavella, LPC, LCAS, CS-I, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Concord, NC 28025 Phone: 704-939-1000
Chaz Avery Batson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Drive, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Sherell Denise Smalls, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 N Church St, Suite 305, Concord, NC 28205 Phone: 704-262-1336

Asia Natashia Fairley, LCMHC - Medicare Counselor in Concord, NC