Tristan Wayne Killian, LCSW, LCAS, CCS is a medicare enrolled "Social Worker - Clinical" provider in Nebo, North Carolina. His current practice location is
3114 E Burma Rd, Nebo, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 201-6901.
Tristan Wayne Killian is licensed to practice in North Carolina (license number C015255) 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 1508411026.
Healthcare Provider's Profile
| Full Name | Tristan Wayne Killian |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 3114 E Burma Rd, Nebo, 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: 1508411026
- Provider Enumeration Date: 08/02/2019
- Last Update Date: 06/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830574698
- Enrollment ID: I20220914001680
Medical Identifiers
Medical identifiers for Tristan Wayne Killian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508411026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25220 (North Carolina) | Secondary |
| 101Y00000X | Counselor | C015255 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | C015255 (North Carolina) | Secondary |
| 171M00000X | Case Manager/care Coordinator | C015255 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C015255 (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. Tristan Wayne Killian allows following entities to bill medicare on his behalf.
| Entity Name | Rha Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447376306
PECOS PAC ID: 8426196072
Enrollment ID: O20091119000172 |
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| Entity Name | Mountain Pathways Counseling, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083207195
PECOS PAC ID: 6103234919
Enrollment ID: O20210415002287 |
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| Entity Name | Killian Consulting Of Wnc Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366137549
PECOS PAC ID: 3779937800
Enrollment ID: O20230922003723 |
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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. Tristan Wayne Killian 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 |
|---|
Tristan Wayne Killian, LCSW, LCAS, CCS
356 Beaver Creek Rd,
Marion, NC 28752-9081
Ph: (828) 201-6901 | Tristan Wayne Killian, LCSW, LCAS, CCS
3114 E Burma Rd,
Nebo, NC 28761-8718
Ph: (828) 201-6901 |
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