Tovakyshe Woullard, LCSWA LCAS-A is a medicare enrolled "Social Worker - Clinical" provider in Kannapolis, North Carolina. Her current practice location is
700 N Cannon Blvd # 106, Kannapolis, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(980) 206-3722.
Tovakyshe Woullard is licensed to practice in North Carolina (license number P014453) 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 1174142277.
Healthcare Provider's Profile
Full Name | Tovakyshe Woullard |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 700 N Cannon Blvd # 106, Kannapolis, 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. |
NPI Data:
- NPI Number: 1174142277
- Provider Enumeration Date: 04/09/2020
- Last Update Date: 09/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 3971940016
- Enrollment ID: I20240325001756
Medical Identifiers
Medical identifiers for Tovakyshe Woullard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174142277 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-26152 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P014453 (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. Tovakyshe Woullard allows following entities to bill medicare on her behalf.
Entity Name | Micum Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376326850 PECOS PAC ID: 0547607673 Enrollment ID: O20240325001470 |
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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. Tovakyshe Woullard 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 |
Tovakyshe Woullard, LCSWA LCAS-A 4311 School House Cmns # 174, Harrisburg, NC 28075-7510 Ph: (704) 639-2322 | Tovakyshe Woullard, LCSWA LCAS-A 700 N Cannon Blvd # 106, Kannapolis, NC 28083-3798 Ph: (980) 206-3722 |
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