Hailie Leann Cushman, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Laurel Fork, Virginia. Her current practice location is
14558 Danville Pike, Laurel Fork, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 398-1200.
Hailie Leann Cushman is licensed to practice in Virginia (license number 0701013366) 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 1982315321.
Healthcare Provider's Profile
| Full Name | Hailie Leann Cushman |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 14558 Danville Pike, Laurel Fork, Virginia |
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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: 1982315321
- Provider Enumeration Date: 12/07/2022
- Last Update Date: 04/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820437502
- Enrollment ID: I20240415000579
Medical Identifiers
Medical identifiers for Hailie Leann Cushman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982315321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 16216 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0701013366 (Virginia) | 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. Hailie Leann Cushman allows following entities to bill medicare on her behalf.
| Entity Name | Tri Area Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346227584
PECOS PAC ID: 6204748296
Enrollment ID: O20040122000969 |
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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. Hailie Leann Cushman 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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Hailie Leann Cushman, LCMHC
634 Sunny Cove Ln,
Hillsville, VA 24343-1599
Ph: (276) 733-5002 | Hailie Leann Cushman, LCMHC
14558 Danville Pike,
Laurel Fork, VA 24352-3982
Ph: (276) 398-1200 |
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