Mrs Lassandra Purnell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
1 Glenwood Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 348-2473.
Mrs Lassandra Purnell is licensed to practice in * (Not Available) (license number ) 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 1366998767.
Healthcare Provider's Profile
| Full Name | Mrs Lassandra Purnell |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1 Glenwood Ave, Raleigh, 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: 1366998767
- Provider Enumeration Date: 08/26/2016
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022465574
- Enrollment ID: I20231106002317
Medical Identifiers
Medical identifiers for Mrs Lassandra Purnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366998767 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | ASW88427 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | C015672 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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 Lassandra Purnell allows following entities to bill medicare on her behalf.
| Entity Name | Brightside Medical Of New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811524754
PECOS PAC ID: 5799141750
Enrollment ID: O20230517000302 |
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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 Lassandra Purnell 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 |
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Mrs Lassandra Purnell, LCSW
Po Box 356,
New Hill, NC 27562-0356
Ph: (202) 286-3616 | Mrs Lassandra Purnell, LCSW
1 Glenwood Ave,
Raleigh, NC 27603-2578
Ph: (919) 348-2473 |
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