Jennifer Anne Niles, LCAS, LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Bahama, North Carolina. Her current practice location is
908 Orange Factory Rd, Bahama, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 610-4595.
Jennifer Anne Niles is licensed to practice in North Carolina (license number 2212) 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 1922374560.
Healthcare Provider's Profile
Full Name | Jennifer Anne Niles |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 908 Orange Factory Rd, Bahama, 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. |
NPI Data:
- NPI Number: 1922374560
- Provider Enumeration Date: 03/28/2012
- Last Update Date: 12/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456643147
- Enrollment ID: I20160718001372
Medical Identifiers
Medical identifiers for Jennifer Anne Niles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922374560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2212 (North Carolina) | Primary |
1041C0700X | Social Worker - Clinical | C009194 (North Carolina) | Secondary |
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. Jennifer Anne Niles allows following entities to bill medicare on her behalf.
Entity Name | Unc Physicians Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750704367 PECOS PAC ID: 5496940546 Enrollment ID: O20101115000646 |
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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. Jennifer Anne Niles 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 |
Jennifer Anne Niles, LCAS, LCSW 908 Orange Factory Rd, Bahama, NC 27503-9182 Ph: () - | Jennifer Anne Niles, LCAS, LCSW 908 Orange Factory Rd, Bahama, NC 27503-9182 Ph: (919) 610-4595 |
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