Mrs Queensly Isibhakhomen Onuzulike, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Raleigh, North Carolina. Her current practice location is
140 Mine Lake Ct Ste 100, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(984) 344-7320.
Mrs Queensly Isibhakhomen Onuzulike is licensed to practice in North Carolina (license number C012593) 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 1376073056.
Healthcare Provider's Profile
| Full Name | Mrs Queensly Isibhakhomen Onuzulike |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 140 Mine Lake Ct Ste 100, 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: 1376073056
- Provider Enumeration Date: 06/15/2017
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 1355777814
- Enrollment ID: I20200203000621
Medical Identifiers
Medical identifiers for Mrs Queensly Isibhakhomen Onuzulike such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376073056 | NPI | - | NPPES |
| 00398687 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | C012593 (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 Queensly Isibhakhomen Onuzulike allows following entities to bill medicare on her behalf.
| Entity Name | A New Life Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679882393
PECOS PAC ID: 9335416072
Enrollment ID: O20170530001862 |
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| Entity Name | Our Treatment Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134424542
PECOS PAC ID: 6608297254
Enrollment ID: O20200606000027 |
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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 Queensly Isibhakhomen Onuzulike 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 Queensly Isibhakhomen Onuzulike, LCSW
140 Mine Lake Ct Ste 100,
Raleigh, NC 27615-6417
Ph: (984) 344-7320 | Mrs Queensly Isibhakhomen Onuzulike, LCSW
140 Mine Lake Ct Ste 100,
Raleigh, NC 27615-6417
Ph: (984) 344-7320 |
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