Chavonne Mcclay, is a medicare enrolled "Social Worker - Clinical" provider in Albuquerque, New Mexico. Her current practice location is
7510 Montgomery Blvd Ne Ste 202, Albuquerque, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 226-6355.
Chavonne Mcclay is licensed to practice in New Mexico (license number C-09259) 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 1245505205.
Healthcare Provider's Profile
Full Name | Chavonne Mcclay |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7510 Montgomery Blvd Ne Ste 202, Albuquerque, New Mexico |
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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: 1245505205
- Provider Enumeration Date: 03/09/2012
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658508866
- Enrollment ID: I20180118001437
Medical Identifiers
Medical identifiers for Chavonne Mcclay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245505205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CW017810 (Pennsylvania) | Secondary |
1041C0700X | Social Worker - Clinical | C-09259 (New Mexico) | 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. Chavonne Mcclay allows following entities to bill medicare on her behalf.
Entity Name | Unabridged Counseling And Coaching, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942713151 PECOS PAC ID: 6709145816 Enrollment ID: O20180118001375 |
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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. Chavonne Mcclay 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 |
Chavonne Mcclay, 7520 Montgomery Blvd Ne Bldg E15, Albuquerque, NM 87109-1586 Ph: (505) 226-6380 | Chavonne Mcclay, 7510 Montgomery Blvd Ne Ste 202, Albuquerque, NM 87109-1500 Ph: (505) 226-6355 |
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