Mrs Autumn Daniel Ross, LCMHC in Concord, NC - Medicare Counselor Provider

Mrs Autumn Daniel Ross, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Concord, North Carolina. Her current practice location is 4420 Triumph Dr Sw, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 341-7111.

Mrs Autumn Daniel Ross is licensed to practice in North Carolina (license number A9685) 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 1376883983.

Contact Information

	Mrs Autumn Daniel Ross, LCMHC
	4420 Triumph Dr Sw, Concord, NC 28027-2707
	(864) 341-7111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Autumn Daniel Ross
Gender	Female
Speciality	Counselor - Mental Health
Location	4420 Triumph Dr Sw, 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: 1376883983
Provider Enumeration Date: 02/18/2013
Last Update Date: 07/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7416319793
Enrollment ID: I20240206004837

Medical Identifiers

Medical identifiers for Mrs Autumn Daniel Ross such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376883983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A9685 (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 Autumn Daniel Ross allows following entities to bill medicare on her behalf.

Entity Name	Thriving Lane
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20230629001782

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 Autumn Daniel Ross 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 Autumn Daniel Ross, LCMHC 518 Pearl St Apt 1734, Charlotte, NC 28262-3846 Ph: (864) 341-7111	Mrs Autumn Daniel Ross, LCMHC 4420 Triumph Dr Sw, Concord, NC 28027-2707 Ph: (864) 341-7111

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

Mrs Autumn Daniel Ross, LCMHC - Medicare Counselor in Concord, NC