Mr William Ashley Mizelle Jr, LCAS,LCMHC,CCS in Greenville, NC

Mr William Ashley Mizelle Jr, LCAS,LCMHC,CCS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Greenville, North Carolina. His current practice location is 2602 Courtier Dr, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 752-0483.

Mr William Ashley Mizelle Jr is licensed to practice in North Carolina (license number 1061) 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 1154497220.

Contact Information

	Mr William Ashley Mizelle Jr, LCAS,LCMHC,CCS
	2602 Courtier Dr, Greenville, NC 27834-7818
	(252) 752-0483
	(252) 757-3172

Map and Direction

Healthcare Provider's Profile

Full Name	Mr William Ashley Mizelle Jr
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	2602 Courtier Dr, Greenville, 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: 1154497220
Provider Enumeration Date: 11/28/2006
Last Update Date: 10/23/2023

Medicare PECOS Information:

PECOS PAC ID: 4981056579
Enrollment ID: I20240119000035

Medical Identifiers

Medical identifiers for Mr William Ashley Mizelle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154497220	NPI	-	NPPES
6111889	Medicaid	NC
191488	Other	NC	MEDCOST
143KY	Other	NC	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6860 (North Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	10014 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	6860 (North Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1061 (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 William Ashley Mizelle Jr allows following entities to bill medicare on his behalf.

Entity Name	Port Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497075618 PECOS PAC ID: 5193752681 Enrollment ID: O20050726001211

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 William Ashley Mizelle Jr 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 William Ashley Mizelle Jr, LCAS,LCMHC,CCS 1492 Tull Rd, Greenville, NC 27858-8366 Ph: (252) 814-5441	Mr William Ashley Mizelle Jr, LCAS,LCMHC,CCS 2602 Courtier Dr, Greenville, NC 27834-7818 Ph: (252) 752-0483

Reviews and Comments

Counselor in Greenville, NC

Ms. Celeste S Crawford, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1309 W Ragsdale Rd, Greenville, NC 27858 Phone: 252-341-8233
Erica M Little, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2428 Charles Blvd, Greenville, NC 27858 Phone: 252-215-5700 Fax: 252-215-5701
Lynn Battle Owens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Ct Ste A, Greenville, NC 27858 Phone: 252-347-8058
Jasmine Bombard Martinez, Counselor Medicare: Medicare Enrolled Practice Location: 231 Commerce St, Greenville, NC 27858 Phone: 252-321-8080 Fax: 252-321-7999
Dr. Nathalie Diona Mizelle-johnson, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 Evans St, Suite B, Greenville, NC 27834 Phone: 252-756-7848
Mr. Bryan Crisp, LMFT, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Lynndale Court, Suite A, Greenville, NC 27858 Phone: 252-413-8890 Fax: 252-756-7533
James Arthur Coulter, MSW, LCSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 6a Doctor's Park, Greenville, NC 27834 Phone: 252-744-4500 Fax: 252-744-3472

Mr William Ashley Mizelle Jr, LCAS,LCMHC,CCS - Medicare Counselor in Greenville, NC