Lifesource Of North Carolina - Medicare Mental Health Clinic 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

Mental Health Clinic Profile

Full NameLifesource Of North Carolina
SpecialitySocial Worker
Location2900 W E St, North Platte, Nebraska
Authorized Official Name and PositionPeggy Baddour (PRESIDENT)
Authorized Official Contact9107779165
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice 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 Number1093350647
Provider Enumeration Date11/07/2019
Last Update Date03/25/2021
Certification Date03/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7416132428
Medicare Enrollment IDO20200114002495

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Medical Identifiers

Medical identifiers for Lifesource Of North Carolina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093350647NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Primary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse 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 NameJanet M Bock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942379516
PECOS PAC ID: 8325109903
Enrollment ID: I20081202000451

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Provider NameNathan Dg Herman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1689987836
PECOS PAC ID: 5193977023
Enrollment ID: I20121128000586

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Provider NameNancy G Mize
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1902945033
PECOS PAC ID: 2567770506
Enrollment ID: I20150924002289

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Provider NameAna Cerrato-young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720327752
PECOS PAC ID: 2567899800
Enrollment ID: I20200225003047

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Provider NameJill Sims-hill
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1699720284
PECOS PAC ID: 5991985392
Enrollment ID: I20200714000256

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Provider NameBarbara Joan Rubin
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1669801551
PECOS PAC ID: 7911241179
Enrollment ID: I20220207001570

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› Verified 9 days ago

Social Worker in North Platte, NE

Heartland Couseling Clinic
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 110 N Bailey, North Platte, NE 69103
Phone: 308-534-6029    Fax: 308-534-6961
Wb Counseling Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 319 E. B St., North Platte, NE 69101
Phone: 308-532-5565    
Behavioral Medicine Associates Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 220 W Leota St, Suite 200, North Platte, NE 69101
Phone: 308-534-4872    
Seva Behavior Therapy
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 421 S Welch Ave, North Platte, NE 69101
Phone: 470-202-4404    
Lisa M. Jones, Ph.d., Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 221 W 2nd St, Suite 105, North Platte, NE 69101
Phone: 308-532-3000    Fax: 308-532-4164
Platte Valley Counseling, Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 409 N Jeffers St, North Platte, NE 69101
Phone: 308-532-5565    Fax: 308-532-5575

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