Ms Laura Ida Anthony, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Vitae Health Of Florida Llc and her current practice location is
10130 Mallard Creek Road, Ste 300 #333, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 994-3511.
Ms Laura Ida Anthony is licensed to practice in North Carolina (license number C013404) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114404506.
Healthcare Provider's Profile
| Full Name | Ms Laura Ida Anthony |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 10130 Mallard Creek Road, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Laura Ida Anthony graduated from medical school in 2018
NPI Data:
- NPI Number: 1114404506
- Provider Enumeration Date: 07/27/2018
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587084371
- Enrollment ID: I20231204003669
Medical Identifiers
Medical identifiers for Ms Laura Ida Anthony such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114404506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | SW22193 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | C013404 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW22193 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | C013404 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Vitae Health Of Florida Llc | 6204166762 | 32 |
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. Ms Laura Ida Anthony allows following entities to bill medicare on her behalf.
| Entity Name | Vitae Health Of Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013562024
PECOS PAC ID: 6204166762
Enrollment ID: O20190925003271 |
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| Entity Name | Mindful Mental Health Services - Fl Gulf Sw Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568121267
PECOS PAC ID: 9234523325
Enrollment ID: O20220307001924 |
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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. Ms Laura Ida Anthony 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 |
|---|
Ms Laura Ida Anthony, LCSW
10130 Mallard Creek Rd Ste 300,
Charlotte, NC 28262-6001
Ph: (704) 944-3511 | Ms Laura Ida Anthony, LCSW
10130 Mallard Creek Road, Ste 300 #333,
Charlotte, NC 28262
Ph: (704) 994-3511 |
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