Loretta H Davis, LPC, LCAS in Concord, NC - Medicare Counselor Provider

Loretta H Davis, LPC, LCAS is a medicare enrolled "Counselor - Professional" provider in Concord, North Carolina. Her current practice location is 284 Executive Park Dr, Ste 100, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 939-1100.

Loretta H Davis is licensed to practice in North Carolina (license number 7577) 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 1982939468.

Contact Information

	Loretta H Davis, LPC, LCAS
	284 Executive Park Dr, Ste 100, Concord, NC 28025-1831
	(704) 939-1100
	(704) 939-1173

Map and Direction

Healthcare Provider's Profile

Full Name	Loretta H Davis
Gender	Female
Speciality	Counselor - Professional
Location	284 Executive Park Dr, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982939468
Provider Enumeration Date: 10/16/2009
Last Update Date: 05/11/2017

Medicare PECOS Information:

PECOS PAC ID: 8123477510
Enrollment ID: I20231211002194

Medical Identifiers

Medical identifiers for Loretta H Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982939468	NPI	-	NPPES
1982939468	Other	NC	BCBS
1982939468	Other	NC	MAGELLAN
1982939468	Other	NC	UNITED BEHAVIORAL HEALTH
1982939468	Other	NC	HUMANA
1982939468	Other	NC	UNITED HEALTHCARE
1982939468	Medicaid	NC
1982939468	Other	NC	OPTUM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7577 (North Carolina)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1525 (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. Loretta H Davis allows following entities to bill medicare on her behalf.

Entity Name	Monarch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103

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. Loretta H 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
Loretta H Davis, LPC, LCAS 1000 N 1st St, Suite 1, Albemarle, NC 28001-2833 Ph: (704) 983-2117	Loretta H Davis, LPC, LCAS 284 Executive Park Dr, Ste 100, Concord, NC 28025-1831 Ph: (704) 939-1100

Reviews and Comments

Counselor in Concord, NC

Ms. Amber Medlin Glover, LCSWA, LCAS Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 Cabarrus Ave E Ste 200, Concord, NC 28025 Phone: 855-743-2247 Fax: 855-857-7333
Bridgette Jeannine Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100
Teresa Mcgee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Copperfield Blvd Ne Ste 105, Concord, NC 28025 Phone: 704-332-9001 Fax: 704-332-0124
Laurie Ann Pitts, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 Church St. North, Concord, NC 28025 Phone: 704-280-0066
Heather Tavella, LPC, LCAS, CS-I, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Concord, NC 28025 Phone: 704-939-1000
Chaz Avery Batson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Drive, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Sherell Denise Smalls, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 845 N Church St, Suite 305, Concord, NC 28205 Phone: 704-262-1336

Loretta H Davis, LPC, LCAS - Medicare Counselor in Concord, NC