Teoletta Suzette West, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cary, North Carolina. Her current practice location is
115 Kildaire Park Dr Ste 402, Cary, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(855) 501-1004.
Teoletta Suzette West is licensed to practice in North Carolina (license number C009290) 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 1033470463.
Healthcare Provider's Profile
| Full Name | Teoletta Suzette West |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 115 Kildaire Park Dr Ste 402, Cary, 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: 1033470463
- Provider Enumeration Date: 06/01/2012
- Last Update Date: 08/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335464320
- Enrollment ID: I20150216000811
Medical Identifiers
Medical identifiers for Teoletta Suzette West such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033470463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20564 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P006717 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C009290 (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. Teoletta Suzette West allows following entities to bill medicare on her behalf.
| Entity Name | Introspection Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487325866
PECOS PAC ID: 9436549813
Enrollment ID: O20211127000009 |
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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. Teoletta Suzette West 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 |
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Teoletta Suzette West, LCSW
3835 N Freeway Blvd Ste 100,
Sacramento, CA 95834-1954
Ph: (916) 576-7900 | Teoletta Suzette West, LCSW
115 Kildaire Park Dr Ste 402,
Cary, NC 27518-8144
Ph: (855) 501-1004 |
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