Mrs Kim Edwards Dixon, MSW, LCSW, LCAS is a medicare enrolled "Social Worker - Clinical" provider in Greenville, North Carolina. Her current practice location is
261 Belvoir Hwy, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 695-6352.
Mrs Kim Edwards Dixon is licensed to practice in North Carolina (license number C010109) 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 1154764090.
Healthcare Provider's Profile
| Full Name | Mrs Kim Edwards Dixon |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 261 Belvoir Hwy, Greenville, North Carolina |
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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: 1154764090
- Provider Enumeration Date: 04/10/2013
- Last Update Date: 02/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547512600
- Enrollment ID: I20181018000011
Medical Identifiers
Medical identifiers for Mrs Kim Edwards Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154764090 | NPI | - | NPPES |
| 1154764090 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2529 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010109 (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 Kim Edwards Dixon allows following entities to bill medicare on her behalf.
| Entity Name | Greene County Health Care Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891798054
PECOS PAC ID: 0648189001
Enrollment ID: O20040117000030 |
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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 Kim Edwards Dixon 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 Kim Edwards Dixon, MSW, LCSW, LCAS
7 Professional Dr,
Snow Hill, NC 28580-1332
Ph: (252) 747-8162 | Mrs Kim Edwards Dixon, MSW, LCSW, LCAS
261 Belvoir Hwy,
Greenville, NC 27834-8193
Ph: (252) 695-6352 |
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