Jeffrey Lee Simmons Jr, LCSWA, LCASA is a medicare enrolled "Social Worker - Clinical" provider in Wilmington, North Carolina. His current practice location is
615 Shipyard Blvd, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 343-0145.
Jeffrey Lee Simmons Jr is licensed to practice in North Carolina (license number P016260) 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 1508435744.
Healthcare Provider's Profile
| Full Name | Jeffrey Lee Simmons Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 615 Shipyard Blvd, Wilmington, North Carolina |
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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: 1508435744
- Provider Enumeration Date: 06/22/2021
- Last Update Date: 07/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 3072952506
- Enrollment ID: I20240417002077
Medical Identifiers
Medical identifiers for Jeffrey Lee Simmons Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508435744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 27350 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P016260 (North Carolina) | 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. Jeffrey Lee Simmons Jr allows following entities to bill medicare on his behalf.
| Entity Name | Coastal Horizons Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922022607
PECOS PAC ID: 9739267964
Enrollment ID: O20080429000046 |
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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. Jeffrey Lee Simmons Jr 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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Jeffrey Lee Simmons Jr, LCSWA, LCASA
615 Shipyard Blvd,
Wilmington, NC 28412-6431
Ph: (910) 343-0145 | Jeffrey Lee Simmons Jr, LCSWA, LCASA
615 Shipyard Blvd,
Wilmington, NC 28412-6431
Ph: (910) 343-0145 |
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