Lu Evelyn Jacobs Tillman, LCSW, LCASA, TF-CBT is a medicare enrolled "Social Worker - Clinical" provider in Raeford, North Carolina. She graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Greater Vision Counseling And Consulting Agency Pllc and her current practice location is
402 Harris Ave, Raeford, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 875-5590.
Lu Evelyn Jacobs Tillman is licensed to practice in North Carolina (license number C010937) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972984888.
Healthcare Provider's Profile
| Full Name | Lu Evelyn Jacobs Tillman |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 9 Years |
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| Location | 402 Harris Ave, Raeford, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lu Evelyn Jacobs Tillman graduated from medical school in 2015
NPI Data:
- NPI Number: 1972984888
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507130382
- Enrollment ID: I20170918001127
Medical Identifiers
Medical identifiers for Lu Evelyn Jacobs Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972984888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21969 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010937 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Greater Vision Counseling And Consulting Agency Pllc | 5698049476 | 5 |
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. Lu Evelyn Jacobs Tillman allows following entities to bill medicare on her behalf.
| Entity Name | Greater Vision Counseling & Consulting Agency Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336661826
PECOS PAC ID: 5698049476
Enrollment ID: O20170918000999 |
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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. Lu Evelyn Jacobs Tillman 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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Lu Evelyn Jacobs Tillman, LCSW, LCASA, TF-CBT
199 Pine Tree Ln,
Raeford, NC 28376-2430
Ph: (910) 336-3554 | Lu Evelyn Jacobs Tillman, LCSW, LCASA, TF-CBT
402 Harris Ave,
Raeford, NC 28376-3112
Ph: (910) 875-5590 |
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