Tracy Cruse, LCMHCA in Goldsboro, NC - Medicare Counselor Provider

Tracy Cruse, LCMHCA is a medicare enrolled "Counselor - Mental Health" provider in Goldsboro, North Carolina. Her current practice location is 696 N Spence Ave Ste C, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 581-7072.

Tracy Cruse is licensed to practice in North Carolina (license number A17502) 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 1649963695.

Contact Information

	Tracy Cruse, LCMHCA
	696 N Spence Ave Ste C, Goldsboro, NC 27534-4354
	(919) 581-7072
	(919) 288-1879

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Cruse
Gender	Female
Speciality	Counselor - Mental Health
Location	696 N Spence Ave Ste C, Goldsboro, 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: 1649963695
Provider Enumeration Date: 05/26/2023
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3274975420
Enrollment ID: I20240520003908

Medical Identifiers

Medical identifiers for Tracy Cruse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649963695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	A17502 (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. Tracy Cruse allows following entities to bill medicare on her behalf.

Entity Name	Living Waters Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689935264 PECOS PAC ID: 3072957117 Enrollment ID: O20240216003168

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. Tracy Cruse 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
Tracy Cruse, LCMHCA 696 N Spence Ave Ste C, Goldsboro, NC 27534-4354 Ph: (919) 581-7072	Tracy Cruse, LCMHCA 696 N Spence Ave Ste C, Goldsboro, NC 27534-4354 Ph: (919) 581-7072

Reviews and Comments

Counselor in Goldsboro, NC

Beverly Charmaine Cates, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 Beech St, Goldsboro, NC 27530 Phone: 919-731-2119
Katrina C Williams, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 E Ash St Ste 300, Goldsboro, NC 27530 Phone: 919-709-1692
Crystal Daye Price, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676
Mrs. Mary Anita Vannoske, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1706 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-734-6676 Fax: 919-734-9050
Caleb Harding, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 S George St, Goldsboro, NC 27530 Phone: 984-444-0586
Courtney Allison Van Kleeck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1008 E Ash St, Goldsboro, NC 27530 Phone: 252-208-0027
Mr. Albert Bernard Barron, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 Cashwell Dr Ste 3, Goldsboro, NC 27534 Phone: 919-751-8989 Fax: 919-751-1616

Tracy Cruse, LCMHCA - Medicare Counselor in Goldsboro, NC