Charles Loyd Stallings, LADACII, SAP is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Oliver Springs, Tennessee. His current practice location is
600 W. Tri County Blvd., Oliver Springs, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 730-6628.
Charles Loyd Stallings is licensed to practice in Tennessee (license number 10089338) 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 1326553637.
Healthcare Provider's Profile
| Full Name | Charles Loyd Stallings |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
|---|
| Location | 600 W. Tri County Blvd., Oliver Springs, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1326553637
- Provider Enumeration Date: 12/08/2017
- Last Update Date: 12/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 5395150213
- Enrollment ID: I20210226000585
Medical Identifiers
Medical identifiers for Charles Loyd Stallings such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326553637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10089338 (Tennessee) | 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. Charles Loyd Stallings allows following entities to bill medicare on his behalf.
| Entity Name | A Prodigal's Path 2 Recovery Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386267490
PECOS PAC ID: 4486069309
Enrollment ID: O20210226000388 |
|---|
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. Charles Loyd Stallings 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 |
|---|
Charles Loyd Stallings, LADACII, SAP
600 W. Tri County Blvd.,
Oliver Springs, TN 37840-1431
Ph: (865) 730-6628 | Charles Loyd Stallings, LADACII, SAP
600 W. Tri County Blvd.,
Oliver Springs, TN 37840-1431
Ph: (865) 730-6628 |
Reviews and Comments