Lifesource Of North Carolina in North Platte, NE

Lifesource Of North Carolina is a medicare enrolled mental health clinic (Social Worker - Clinical) in North Platte, Nebraska. The current practice location for Lifesource Of North Carolina is 2900 W E St, North Platte, Nebraska. For appointments, you can reach them via phone at (910) 742-9243. The mailing address for Lifesource Of North Carolina is Po Box 538622, Atlanta, Georgia and phone number is (910) 535-1211.

Lifesource Of North Carolina is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093350647. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (910) 742-9243.

Contact Information

	Lifesource Of North Carolina
	2900 W E St North Platte NE 69101-1803
	(910) 742-9243
	(888) 746-1787

Map and Direction

Mental Health Clinic Profile

Full Name	Lifesource Of North Carolina
Speciality	Social Worker
Location	2900 W E St, North Platte, Nebraska
Authorized Official Name and Position	Peggy Baddour (PRESIDENT)
Authorized Official Contact	9107779165
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lifesource Of North Carolina Po Box 538622 Atlanta GA 30353-8622 Ph: (910) 535-1211	Lifesource Of North Carolina 2900 W E St North Platte NE 69101-1803 Ph: (910) 742-9243

NPI Details:

NPI Number	1093350647
Provider Enumeration Date	11/07/2019
Last Update Date	03/25/2021
Certification Date	03/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	7416132428
Medicare Enrollment ID	O20200114002495

Medical Identifiers

Medical identifiers for Lifesource Of North Carolina such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093350647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363L00000X	Nurse Practitioner	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lifesource Of North Carolina acts as a billing entity for following providers:

Provider Name	Barbara Joan Rubin
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1669801551 PECOS PAC ID: 7911241179 Enrollment ID: I20220207001570

Reviews and Comments

Social Worker in North Platte, NE

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Lifesource Of North Carolina - Medicare Mental Health Clinic in North Platte, NE