Kami Annette Perez, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, North Carolina. Her current practice location is
3505 Village Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 615-3737.
Kami Annette Perez is licensed to practice in North Carolina (license number C011666) 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 1114479839.
Healthcare Provider's Profile
| Full Name | Kami Annette Perez |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3505 Village Dr, Fayetteville, 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: 1114479839
- Provider Enumeration Date: 10/28/2016
- Last Update Date: 09/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547504631
- Enrollment ID: I20181129003177
Medical Identifiers
Medical identifiers for Kami Annette Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114479839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-22914 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P010561 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C011666 (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. Kami Annette Perez allows following entities to bill medicare on her behalf.
| Entity Name | Daymark Recovery Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558329243
PECOS PAC ID: 0547233975
Enrollment ID: O20040814000213 |
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| Entity Name | Onsite Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912338328
PECOS PAC ID: 7012149222
Enrollment ID: O20140422000656 |
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| Entity Name | Centerstone Of Tennessee, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609482439
PECOS PAC ID: 9739088113
Enrollment ID: O20210219001917 |
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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. Kami Annette Perez 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 |
|---|
Kami Annette Perez, LCSW, LCAS
3505 Village Dr,
Fayetteville, NC 28304-4513
Ph: (910) 615-3737 | Kami Annette Perez, LCSW, LCAS
3505 Village Dr,
Fayetteville, NC 28304-4513
Ph: (910) 615-3737 |
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