Dr Corinne Secrest, PHD is a medicare enrolled "Psychologist" provider in Mills River, North Carolina. Her current practice location is
4 Sourwood Dr, Mills River, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 608-2142.
Dr Corinne Secrest is licensed to practice in North Carolina (license number 3930) 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 1710120738.
Healthcare Provider's Profile
Full Name | Dr Corinne Secrest |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4 Sourwood Dr, Mills River, 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: 1710120738
- Provider Enumeration Date: 04/07/2009
- Last Update Date: 12/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981959756
- Enrollment ID: I20230713002305
Medical Identifiers
Medical identifiers for Dr Corinne Secrest such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710120738 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 102804 (North Carolina) | Secondary |
103T00000X | Psychologist | 3930 (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. Dr Corinne Secrest allows following entities to bill medicare on her behalf.
Entity Name | Psychology South Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215613872 PECOS PAC ID: 2466812169 Enrollment ID: O20230712004656 |
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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. Dr Corinne Secrest 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 |
Dr Corinne Secrest, PHD 1854a Hendersonville Rd # 110, Asheville, NC 28803-2467 Ph: (704) 608-2142 | Dr Corinne Secrest, PHD 4 Sourwood Dr, Mills River, NC 28759 Ph: (704) 608-2142 |
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