Peter Boghdadi, MS in Southern Pines, NC - Medicare Counselor Provider

Peter Boghdadi, MS is a medicare enrolled "Counselor - Mental Health" provider in Southern Pines, North Carolina. His current practice location is 350 Shaw Ave, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 580-8280.

Peter Boghdadi is licensed to practice in North Carolina (license number 11312) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083969521.

Contact Information

	Peter Boghdadi, MS
	350 Shaw Ave, Southern Pines, NC 28387-6237
	(910) 580-8280
	(910) 304-5633

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Boghdadi
Gender	Male
Speciality	Counselor - Mental Health
Location	350 Shaw Ave, Southern Pines, 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: 1083969521
Provider Enumeration Date: 07/20/2012
Last Update Date: 01/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5193178754
Enrollment ID: I20240130003194

Medical Identifiers

Medical identifiers for Peter Boghdadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083969521	NPI	-	NPPES
1083969521	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	11312 (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. Peter Boghdadi allows following entities to bill medicare on his behalf.

Entity Name	Thriveworks Clinical - North Carolina Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003303082 PECOS PAC ID: 8527471200 Enrollment ID: O20210120000669

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. Peter Boghdadi 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
Peter Boghdadi, MS 350 Shaw Ave, Southern Pines, NC 28387-6237 Ph: (910) 580-8280	Peter Boghdadi, MS 350 Shaw Ave, Southern Pines, NC 28387-6237 Ph: (910) 580-8280

Reviews and Comments

Counselor in Southern Pines, NC

Mrs. Frances Purcell-abbott, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 230c W Pennsylvania Ave, Southern Pines, NC 28387 Phone: 910-695-1434 Fax: 910-235-0882
Mrs. Alyssa Krysiak, LPCA, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Wooster Rd, Southern Pines, NC 28387 Phone: 910-585-9074
Norma Moody Faulk, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 W Pennsylvania Ave, Southern Pines, NC 28387 Phone: 910-725-1015
Rosemary Gertrude Calhoun, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 Us Highway 1 S, Southern Pines, NC 28387 Phone: 910-693-2641 Fax: 910-692-3489
Laura Caroline Colas, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 195 W Illinois Ave, Southern Pines, NC 28387 Phone: 910-692-2444
Alexandra Barth, LCSW, LCASA Counselor Medicare: Medicare Enrolled Practice Location: 135 W Illinois Ave Unit 115, Southern Pines, NC 28387 Phone: 910-929-0375 Fax: 910-849-3633

Peter Boghdadi, MS - Medicare Counselor in Southern Pines, NC