Leslianne Patricia Davis, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
2101 Garner Rd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 787-6131.
Leslianne Patricia Davis is licensed to practice in North Carolina (license number C015207) 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 1689220303.
Healthcare Provider's Profile
| Full Name | Leslianne Patricia Davis |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2101 Garner Rd, Raleigh, 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: 1689220303
- Provider Enumeration Date: 08/19/2019
- Last Update Date: 03/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355714627
- Enrollment ID: I20230307002619
Medical Identifiers
Medical identifiers for Leslianne Patricia Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689220303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25488 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C015207 (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. Leslianne Patricia Davis allows following entities to bill medicare on her behalf.
| Entity Name | Southlight Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932300019
PECOS PAC ID: 6901947613
Enrollment ID: O20100104000134 |
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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. Leslianne Patricia Davis 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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Leslianne Patricia Davis, LCSW, LCAS
Po Box 99101,
Raleigh, NC 27624-9101
Ph: () - | Leslianne Patricia Davis, LCSW, LCAS
2101 Garner Rd,
Raleigh, NC 27610-0114
Ph: (919) 787-6131 |
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