Mrs Angela Jarvis Micolucci, LPCS in Mooresville, NC

Mrs Angela Jarvis Micolucci, LPCS is a medicare enrolled "Counselor - Professional" provider in Mooresville, North Carolina. Her current practice location is 400 E Statesville Ave Ste 200, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-8486.

Mrs Angela Jarvis Micolucci is licensed to practice in North Carolina (license number 7147S) 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 1740434315.

Contact Information

	Mrs Angela Jarvis Micolucci, LPCS
	400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588
	(704) 360-8486
	(704) 230-4674

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angela Jarvis Micolucci
Gender	Female
Speciality	Counselor - Professional
Location	400 E Statesville Ave Ste 200, Mooresville, 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: 1740434315
Provider Enumeration Date: 11/10/2008
Last Update Date: 01/16/2023

Medicare PECOS Information:

PECOS PAC ID: 0941349914
Enrollment ID: I20240307000915

Medical Identifiers

Medical identifiers for Mrs Angela Jarvis Micolucci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740434315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	7147S (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. Mrs Angela Jarvis Micolucci allows following entities to bill medicare on her behalf.

Entity Name	Southern Family Medicine, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881144590 PECOS PAC ID: 0840558342 Enrollment ID: O20171211000249

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. Mrs Angela Jarvis Micolucci 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
Mrs Angela Jarvis Micolucci, LPCS 4750 Kay Bird Ln, Concord, NC 28027-8444 Ph: (704) 953-4890	Mrs Angela Jarvis Micolucci, LPCS 400 E Statesville Ave Ste 200, Mooresville, NC 28115-2588 Ph: (704) 360-8486

Reviews and Comments

Counselor in Mooresville, NC

Jessica Rose Wing, MA, LCMHCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Williamson Rd Ste 103, Mooresville, NC 28117 Phone: 704-360-3049
Erin Poore, LPCA, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 Hampshire Dr, Mooresville, NC 28115 Phone: 704-658-8558
Ms. Ava Vaughan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Amelia Ln, Mooresville, NC 28117 Phone: 276-708-6287
Catherine Diane Naylor, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Williamson Rd, Suite 6, Mooresville, NC 28117 Phone: 704-660-6854
Tetiana Malkova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Williamson Rd Ste 103, Mooresville, NC 28117 Phone: 704-360-3049
Asheli M Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Gateway Blvd Ste C, Mooresville, NC 28117 Phone: 704-360-3637
Mrs. Deanna Cuccinello, MA, LPCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Rolling Hill Rd Ste 235, Mooresville, NC 28117 Phone: 828-548-0313

Mrs Angela Jarvis Micolucci, LPCS - Medicare Counselor in Mooresville, NC