Mrs Peresia Tarona Commodore, LPC in Fayetteville, NC

Mrs Peresia Tarona Commodore, LPC is a medicare enrolled "Counselor - Mental Health" provider in Fayetteville, North Carolina. Her current practice location is 2543 Ravenhill Dr Ste B, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 339-1928.

Mrs Peresia Tarona Commodore is licensed to practice in North Carolina (license number 10174) 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 1578999504.

Contact Information

	Mrs Peresia Tarona Commodore, LPC
	2543 Ravenhill Dr Ste B, Fayetteville, NC 28303-5459
	(910) 339-1928
	(910) 339-4650

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Peresia Tarona Commodore
Gender	Female
Speciality	Counselor - Mental Health
Location	2543 Ravenhill Dr Ste B, Fayetteville, 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: 1578999504
Provider Enumeration Date: 09/23/2013
Last Update Date: 08/12/2019

Medicare PECOS Information:

PECOS PAC ID: 2769833995
Enrollment ID: I20240111003121

Medical Identifiers

Medical identifiers for Mrs Peresia Tarona Commodore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578999504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	10174 (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 Peresia Tarona Commodore allows following entities to bill medicare on her behalf.

Entity Name	Pathways Human Services Of North Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285246991 PECOS PAC ID: 8123477064 Enrollment ID: O20231218001575

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 Peresia Tarona Commodore 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 Peresia Tarona Commodore, LPC 2543 Ravenhill Dr Ste B, Fayetteville, NC 28303-5459 Ph: (910) 339-1928	Mrs Peresia Tarona Commodore, LPC 2543 Ravenhill Dr Ste B, Fayetteville, NC 28303-5459 Ph: (910) 339-1928

Reviews and Comments

Counselor in Fayetteville, NC

Annie Rasheedah Hasan, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311 Phone: 910-624-6513 Fax: 910-568-5385
Rivette Cole, LCASA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306 Phone: 910-797-6511 Fax: 910-491-1000
Ms. Katherine Patricia Hand, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 Dick St, Fayetteville, NC 28301 Phone: 910-868-6092
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314 Phone: 910-216-9256
Mazie Ellis, LCSWA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3605 Camson Rd, Fayetteville, NC 28306 Phone: 910-391-4520
Nicole Turner, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304 Phone: 910-900-8256
Shirley Ann White-snead, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Person St, Fayetteville, NC 28301 Phone: 910-438-0939 Fax: 910-438-0942

Mrs Peresia Tarona Commodore, LPC - Medicare Counselor in Fayetteville, NC