Mrs Bethany Pearl Brintle, LPC is a medicare enrolled "Counselor - Professional" provider in Laurel Fork, Virginia. Her current practice location is
14558 Danville Pike, Laurel Fork, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 398-2292.
Mrs Bethany Pearl Brintle is licensed to practice in Virginia (license number 0701005133) 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 1417010356.
Healthcare Provider's Profile
| Full Name | Mrs Bethany Pearl Brintle |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 14558 Danville Pike, Laurel Fork, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417010356
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406205392
- Enrollment ID: I20231218003628
Medical Identifiers
Medical identifiers for Mrs Bethany Pearl Brintle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417010356 | NPI | - | NPPES |
| 6102321 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 4307 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 4307 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 0701005133 (Virginia) | 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 Bethany Pearl Brintle allows following entities to bill medicare on her behalf.
| Entity Name | Novant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692 |
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| Entity Name | Forsyth Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702 |
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| Entity Name | Novant Health Medical Group Coastal Region Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649865791
PECOS PAC ID: 2860809936
Enrollment ID: O20210408000285 |
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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. Mrs Bethany Pearl Brintle 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 Bethany Pearl Brintle, LPC
106 Fairlake Ln,
Laurel Fork, VA 24352-3987
Ph: () - | Mrs Bethany Pearl Brintle, LPC
14558 Danville Pike,
Laurel Fork, VA 24352-3982
Ph: (276) 398-2292 |
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