Mr Clinton Stafford Bolton Iii, LPC; LCMHC in Cary, NC

Mr Clinton Stafford Bolton Iii, LPC; LCMHC is a medicare enrolled "Counselor - Professional" provider in Cary, North Carolina. His current practice location is 2500 Regency Pkwy, Cary, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 467-3831.

Mr Clinton Stafford Bolton Iii is licensed to practice in North Carolina (license number 7631) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467780627.

Contact Information

	Mr Clinton Stafford Bolton Iii, LPC; LCMHC
	2500 Regency Pkwy, Cary, NC 27518-8549
	(919) 467-3831
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clinton Stafford Bolton Iii
Gender	Male
Speciality	Counselor - Professional
Location	2500 Regency Pkwy, Cary, 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: 1467780627
Provider Enumeration Date: 11/30/2009
Last Update Date: 02/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0244459295
Enrollment ID: I20240301001743

Medical Identifiers

Medical identifiers for Mr Clinton Stafford Bolton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467780627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	7631 (North Carolina)	Secondary
101YP2500X	Counselor - Professional	7631 (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. Mr Clinton Stafford Bolton Iii allows following entities to bill medicare on his behalf.

Entity Name	Rex Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181

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. Mr Clinton Stafford Bolton Iii 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
Mr Clinton Stafford Bolton Iii, LPC; LCMHC 2500 Regency Pkwy, Cary, NC 27518-8549 Ph: (919) 467-3831	Mr Clinton Stafford Bolton Iii, LPC; LCMHC 2500 Regency Pkwy, Cary, NC 27518-8549 Ph: (919) 467-3831

Reviews and Comments

Counselor in Cary, NC

Ms. Karae Nakemia Mcghee King Powers Carey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1330 Se Maynard Rd, Suite 102, Cary, NC 27511 Phone: 919-454-7857
Jonnie Seay Lane, LCAS, LPC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Ridge View Dr Ste C, Cary, NC 27511 Phone: 252-327-3791
Mr. Orlando Santos Jesalva Jr., M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Powers Ferry Rd, Cary, NC 27519 Phone: 919-342-5512
Mckeen Akwaja, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Mackenan Dr, Cary, NC 27511 Phone: 980-819-0010
Jana Bester Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Mackenan Dr, Cary, NC 27511 Phone: 919-371-2848
Achaia Dent, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1240 Se Maynard Rd Ste 104, Cary, NC 27511 Phone: 919-709-7307
Van T. Langeland, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 106-d Ridgeview Dr, Cary, NC 27511 Phone: 919-476-9995

Mr Clinton Stafford Bolton Iii, LPC; LCMHC - Medicare Counselor in Cary, NC