Ms Wanda Clarice Brock, LPC in Henderson, NC - Medicare Counselor Provider

Ms Wanda Clarice Brock, LPC is a medicare enrolled "Counselor - Professional" provider in Henderson, North Carolina. Her current practice location is 510 Dabney Dr, Henderson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 431-0072.

Ms Wanda Clarice Brock is licensed to practice in North Carolina (license number 4481) 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 1912112699.

Contact Information

	Ms Wanda Clarice Brock, LPC
	510 Dabney Dr, Henderson, NC 27536-3946
	(252) 431-0072
	(252) 431-0490

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Wanda Clarice Brock
Gender	Female
Speciality	Counselor - Professional
Location	510 Dabney Dr, Henderson, 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: 1912112699
Provider Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8325497548
Enrollment ID: I20231213003553

Medical Identifiers

Medical identifiers for Ms Wanda Clarice Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912112699	NPI	-	NPPES
6102736	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4481 (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. Ms Wanda Clarice Brock allows following entities to bill medicare on her behalf.

Entity Name	Southside Community Services Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612

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 Wanda Clarice Brock 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 Wanda Clarice Brock, LPC 3129 Marengo Rd, La Crosse, VA 23950-2420 Ph: (434) 636-2792	Ms Wanda Clarice Brock, LPC 510 Dabney Dr, Henderson, NC 27536-3946 Ph: (252) 431-0072

Reviews and Comments

Counselor in Henderson, NC

Mrs. Leigh Lampley Martin, M.ED, LPCA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 943 W Andrews Ave Ste H, Henderson, NC 27536 Phone: 252-433-0061
Stephanie Dorner, PLCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 Wyche St, Henderson, NC 27536 Phone: 252-438-2581 Fax: 252-438-6364
James Michael Hackbarth, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 841 Rook St, Henderson, NC 27536 Phone: 252-767-3830
Mrs. Ericka Jasmine Thomas, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 804 S Garnett St, Henderson, NC 27536 Phone: 980-226-8113
Sandra Decole Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Parkview Dr, Henderson, NC 27536 Phone: 252-438-4145 Fax: 252-438-6405
Nekisha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Thorpe St, Henderson, NC 27536 Phone: 252-767-1039
Ms. Katina Patrice Hayes, P-LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 943 W Andrews Ave Ste H, Henderson, NC 27536 Phone: 252-433-0061 Fax: 252-433-0065

Ms Wanda Clarice Brock, LPC - Medicare Counselor in Henderson, NC