Mr Larry Wayne Clubine, BA, CSAC - Medicare Counselor in Fayetteville, NC

Mr Larry Wayne Clubine, BA, CSAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Fayetteville, North Carolina. His current practice location is 1329 Robeson St, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 438-0939.

Mr Larry Wayne Clubine is licensed to practice in North Carolina (license number INTERN) 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 1033386610.

Contact Information

Mr Larry Wayne Clubine, BA, CSAC
1329 Robeson St,
Fayetteville, NC 28305-5531
(910) 438-0939
Not Available

Healthcare Provider's Profile

Full NameMr Larry Wayne Clubine
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1329 Robeson St, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033386610
  • Provider Enumeration Date: 05/13/2008
  • Last Update Date: 01/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0244626695
  • Enrollment ID: I20220412000256

Medical Identifiers

Medical identifiers for Mr Larry Wayne Clubine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033386610NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) INTERN (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. Mr Larry Wayne Clubine allows following entities to bill medicare on his behalf.
Entity NameCarolina Outreach, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083723266
PECOS PAC ID: 0446449748
Enrollment ID: O20110118000335

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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. Mr Larry Wayne Clubine 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 AddressPractice Location Address
Mr Larry Wayne Clubine, BA, CSAC
911 Hay St,
Fayetteville, NC 28305-5313

Ph: (910) 438-0939
Mr Larry Wayne Clubine, BA, CSAC
1329 Robeson St,
Fayetteville, NC 28305-5531

Ph: (910) 438-0939

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Counselor in Fayetteville, NC

Annie Rasheedah Hasan, LCAS-A
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1340 Mcarthur Rd, Fayetteville, NC 28311
Phone: 910-624-6513    Fax: 910-568-5385
Rivette Cole, LCASA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2820 Bolla Dr, Fayetteville, NC 28306
Phone: 910-797-6511    Fax: 910-491-1000
Ms. Katherine Patricia Hand, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 315 Dick St, Fayetteville, NC 28301
Phone: 910-868-6092    
Patricia Sunshine Duggan, LCMCHA, LCASA,NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5135 Morganton Rd Ste 104, Fayetteville, NC 28314
Phone: 910-216-9256    
Mazie Ellis, LCSWA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3605 Camson Rd, Fayetteville, NC 28306
Phone: 910-391-4520    
Nicole Turner, CADC-R
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3427 Melrose Rd, Fayetteville, NC 28304
Phone: 910-900-8256    
Shirley Ann White-snead,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 324 Person St, Fayetteville, NC 28301
Phone: 910-438-0939    Fax: 910-438-0942

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