Donald R Clise Ii, LCSW is a medicare enrolled "Social Worker" provider in Charlotte, North Carolina. He graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice The Charlotte-mecklenburg Hospital Authority and his current practice location is
7825 Ballantyne Commons Pkwy, Ste 110, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 446-0391.
Donald R Clise Ii is licensed to practice in North Carolina (license number C008971) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285916155.
Healthcare Provider's Profile
| Full Name | Donald R Clise Ii |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 7825 Ballantyne Commons Pkwy, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Donald R Clise Ii graduated from medical school in 2011
NPI Data:
- NPI Number: 1285916155
- Provider Enumeration Date: 09/15/2011
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517280415
- Enrollment ID: I20141230000543
Medical Identifiers
Medical identifiers for Donald R Clise Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285916155 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C008971 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C008971 (North Carolina) | Secondary |
| 104100000X | Social Worker | C008971 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Charlotte-mecklenburg Hospital Authority | 2961310685 | 489 |
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. Donald R Clise Ii allows following entities to bill medicare on his behalf.
| Entity Name | The Charlotte-mecklenburg Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669738829
PECOS PAC ID: 2961310685
Enrollment ID: O20100309000605 |
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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. Donald R Clise Ii 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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Donald R Clise Ii, LCSW
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Donald R Clise Ii, LCSW
7825 Ballantyne Commons Pkwy, Ste 110,
Charlotte, NC 28277-3174
Ph: (704) 446-0391 |
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