Case Management In Durham North Carolina

NPI list of 58 case management registered providers with a business address in Durham, NC, all registered as organizations. An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

NPI Name Type Taxonomy Address Medicare PECOS
1528161718FAMILY & YOUTH SERVICES INC.
FAMILY AND YOUTH ACHIEVEMENT CENTER INC.
OrganizationCase Management331 W MAIN ST SUITE 611
DURHAM, NC 27701
(919) 680-2345
Non-Participating ProviderNO
1629148820MATCHBOX HEALTH SERVICESOrganizationCase Management6 CONSULTANT PL
DURHAM, NC 27707
(919) 493-3434
Non-Participating ProviderNO
1750453213MORE THAN A CONQUEROR MINISTRIESOrganizationCase Management1006 LAMOND AVE SUITE D
DURHAM, NC 27701
(919) 620-5976
Non-Participating ProviderNO
1982777173COORDINATED HEALTH SERVICES, INC.OrganizationCase Management2310 S MIAMI BLVD STE 235
DURHAM, NC 27703
(919) 484-7819
Non-Participating ProviderNO
1316014806RIGHT DIRECTION COUNSELING, INC.
RIGHT DIRECTION, INC.
OrganizationCase Management1415 W HWY 54 SUITE 102
DURHAM, NC 27707
(919) 544-9300
Non-Participating ProviderNO
1619044799DOMINION MINISTRIESOrganizationCase Management1530 N GREGSON ST SUITE 3E
DURHAM, NC 27701
(919) 416-1830
Non-Participating ProviderNO
1457410235STANDARDS BASED SOLUTIONS EAST, LLC
SBS-EAST
OrganizationCase Management3708 LYCKAN PKWY STE 103
DURHAM, NC 27707
(919) 403-2200
Non-Participating ProviderNO
1568523017LIFE ENHANCEMENT SERVICESOrganizationCase Management411 W CHAPEL HILL ST SUITE 902
DURHAM, NC 27701
(919) 956-7176
Non-Participating ProviderNO
1295890879COVENANT COMMUNITY PARTNERS LLCOrganizationCase Management1803 CHAPEL HILL RD
DURHAM, NC 27707
(919) 401-8000
Non-Participating ProviderNO
1487702619PROFESSIONAL GROUP LIVINGOrganizationCase Management510 SIMMONS ST
DURHAM, NC 27701
(919) 688-0818
Non-Participating ProviderNO
1700937687INTEGRATED FAMILY SOLUTIONS, LLCOrganizationCase Management3622 LYCKAN PKWY SUITE 4001
DURHAM, NC 27707
(919) 430-5200
Non-Participating ProviderNO
1447399514EMPOWERMENT GROUP HOME CARE INCOrganizationCase Management5522 WOODBERRY RD
DURHAM, NC 27707
(919) 403-6300
Non-Participating ProviderNO
1063547586EMPOWERMENT GROUP HOME CARE INCOrganizationCase Management1905 LANDON FARMS LN
DURHAM, NC 27704
(919) 403-6307
Non-Participating ProviderNO
1326171521FAMILY & YOUTH SERVICEOrganizationCase Management331 W MAIN ST STE 611
DURHAM, NC 27701
(919) 680-2345
Non-Participating ProviderNO
1972628709CAROLINA COMMUNITY AND FAMILY SERVICESOrganizationCase Management2919 FAYETTEVILLE ST
DURHAM, NC 27707
(919) 682-4444
Non-Participating ProviderNO
1801916002UNLIMITED ALTERNATIVESOrganizationCase Management1105 W CHAPEL HILL STREET ST
DURHAM, NC 27707
(919) 225-9761
Non-Participating ProviderNO
1609997386FAMILY&YOUTH SERVICESOrganizationCase Management127W S MAIN ST
DURHAM, NC 27850
(252) 586-7453
Non-Participating ProviderNO
1164640280FAMILY CONNECTIONSOrganizationCase Management2310 S MIAMI BLVD SUITE 132
DURHAM, NC 27703
(919) 818-7733
Non-Participating ProviderNO
1851512040AIDS COMMUNITY RESIDENCE ASSOCIATIONOrganizationCase Management115 MARKET ST STE 300
DURHAM, NC 27701
(919) 956-7901
Non-Participating ProviderNO
1265637904BREAKTHROUGHOrganizationCase Management6 CONSULTANT PL SUITE 100
DURHAM, NC 27707
(919) 493-2791
Non-Participating ProviderNO
1336345743MATCHBOX HEALTH SERVICES, INC.OrganizationCase Management6 CONSULTANT PL SUITE 100
DURHAM, NC 27707
(919) 493-3434
Non-Participating ProviderNO
1417154972PHASES OF LIFEOrganizationCase Management123 SLATEWORTH DR
DURHAM, NC 27703
(919) 638-5141
Non-Participating ProviderNO
1295935856UNIVERSAL-NATIONAL ORGANIZATION FOR WHOLISTIC EFFORTS FOR THE COMMUNIT
WHOLISTIC HEALTH
OrganizationCase Management1415 HOLLOWAY ST
DURHAM, NC 27703
(919) 688-7319
Non-Participating ProviderNO
1841480753MATCHBOX HEALTH SERVICESOrganizationCase Management6 CONSULTANT PL SUITE 100
DURHAM, NC 27707
(919) 493-3434
Non-Participating ProviderNO
1780871079COLLABORATING CONCEPTS, INC.OrganizationCase Management908 FAYETTEVILLE ST SUITE 202-203
DURHAM, NC 27701
(919) 688-3377
Non-Participating ProviderNO
1013196948INFANTS, CHILDREN, ADULTS, ADOLESCENTS/JUVENILES, LLCOrganizationCase Management2707 N ROXBORO ST
DURHAM, NC 27704
(919) 201-0052
Non-Participating ProviderNO
1952580482HORIZONS OF CARE SERVICES, LLCOrganizationCase Management3020 PICKETT RD SUITE 123 OF BUILDING 200
DURHAM, NC 27705
(919) 619-2867
Non-Participating ProviderNO
1124207550DREAMWORKS II
DREAMWORKS II
OrganizationCase Management1802 MARTIN LUTHER KING PKWY STE 208
DURHAM, NC 27707
(919) 226-3180
Non-Participating ProviderNO
1073793865REDIRECTION
HASHEM HEALTHCARE SERVICES INC
OrganizationCase Management2327 ENGLERT DR STE 206 2327 ENGLERT DRIVE STE 206
DURHAM, NC 27713
(919) 484-4134
Non-Participating ProviderNO
1790953958A NEW FRONTIEROrganizationCase Management110 HOLLOW OAK DR
DURHAM, NC 27713
(919) 765-0075
Non-Participating ProviderNO
1609044320PROFESSIONAL GROUP LIVING, LLCOrganizationCase Management510 SIMMONS ST
DURHAM, NC 27701
(919) 475-5845
Non-Participating ProviderNO
1972774453CENTRE FOR NEW HOPE,LLCOrganizationCase Management3201 YORKTOWN AVE STE 107
DURHAM, NC 27713
(919) 638-3748
Non-Participating ProviderNO
1477707255DIVINE INTERVENTIONOrganizationCase Management1415 HOLLOWAY ST
DURHAM, NC 27703
(919) 638-8461
Non-Participating ProviderNO
1588801161CLASSIC CARE OPTIONSOrganizationCase Management10 CYNTHIA CT
DURHAM, NC 27704
(919) 683-8545
Non-Participating ProviderNO
1033350186DUKE UNIVERSITY MEDICAL CENTER
DURHAM COMMUNITY HEALTH NETWORK
OrganizationCase Management411 W CHAPEL HILL ST 3RD FLOOR, SUITE 310
DURHAM, NC 27701
(919) 681-3071
Non-Participating ProviderNO
1780826586POSITIVE THOUGHTS ,LLCOrganizationCase Management3925 N DUKE ST SUITE 102-B
DURHAM, NC 27704
(919) 479-9050
Non-Participating ProviderNO
1700029535LOVE AND RESPECT RECOVERY HOUSEOrganizationCase Management1515 ANGIER AVE
DURHAM, NC 27703
(919) 768-0989
Non-Participating ProviderNO
1073756326DIVINE CONNECTION OF DURHAM, LLCOrganizationCase Management3201 YORKTOWN AVE STE 107
DURHAM, NC 27713
(919) 949-8835
Non-Participating ProviderNO
1629211966STRONG FOUNDATION YOUTH INTERVENTION SERVICES LLCOrganizationCase Management908 FAYETTEVILLE ST SUITE 203
DURHAM, NC 27701
(919) 239-0396
Non-Participating ProviderNO
1093943862LA'S HELPING ANGELS AGENCY INCOrganizationCase Management110 SADDLE CREEK LN
DURHAM, NC 27703
(919) 641-4442
Non-Participating ProviderNO
1306078100V I C (VICTORY IN CRISIS), INCOrganizationCase Management1800 MARTIN LUTHER KING PKWY SUITE 201
DURHAM, NC 27707
(919) 641-5722
Non-Participating ProviderNO
1659504488WALLTOWN COMMUNITY OUTREACH, INC.OrganizationCase Management1119 CLARENDON ST
DURHAM, NC 27705
(919) 425-5436
Non-Participating ProviderNO
1639402936CLEAR AND CONFIDENT CHOICES, LLCOrganizationCase Management3118 SKYBROOK LN
DURHAM, NC 27703
(919) 672-1714
Non-Participating ProviderNO
1336475052JUSTUS OJWANG, LCSWOrganizationCase Management1530 N GREGSON ST STE 2B
DURHAM, NC 27701
(919) 416-0000
Non-Participating ProviderNO
1154650349RIGHT DIRECTION COUNSELING INCOrganizationCase Management6409 FAYETTEVILLE RD SUITE 120 - 371
DURHAM, NC 27713
(847) 345-0607
Non-Participating ProviderNO
1750693636COORDINATED HEALTH SERVICESOrganizationCase Management2310 S MIAMI BLVD SUITE 235
DURHAM, NC 27703
(919) 484-7819
Non-Participating ProviderNO
1487963062TOP PRIORITY CARE SERVICESOrganizationCase Management4324 S ALSTON AVE STE 201
DURHAM, NC 27713
(919) 405-7200
Non-Participating ProviderNO
1821393448PROFESSIONAL GROUP LIVING, LLCOrganizationCase Management510 SIMMONS ST
DURHAM, NC 27701
(919) 806-6726
Non-Participating ProviderNO
1104122357DUKE UNIVERSITY HEALTH SYSTEM INC
NORTHERN PIEDMONT COMMUNITY CARE
OrganizationCase Management411 W CHAPEL HILL ST 3RD FLOOR
DURHAM, NC 27701
(919) 681-4220
Non-Participating ProviderNO
1265712020JAREH HEALTHCARE, INC.OrganizationCase Management2116 S MIAMI BLVD
DURHAM, NC 27703
(919) 957-3354
Non-Participating ProviderNO
1962788737FIRST ENDEAVORS INC.OrganizationCase Management1011 WOODSIDE PARK LN
DURHAM, NC 27704
(855) 347-7363
Non-Participating ProviderNO
1972870764ATLANTIC FAMILY NETWORKOrganizationCase Management4 TRESCOTT DR
DURHAM, NC 27703
(919) 818-7733
Non-Participating ProviderNO
1306194592YOUTH VILLAGESOrganizationCase Management100 CAPITOLA DR
DURHAM, NC 27713
(919) 474-6400
Non-Participating ProviderNO
1255497244NEW OUTLOOK SECOND CHANCE, INC.OrganizationCase Management2604 CARVER ST SUITE C
DURHAM, NC 27705
(919) 682-4771
Non-Participating ProviderNO
1639536139PSYCHOTHERAPEUTIC SERVICESOrganizationCase Management400 W MAIN ST STE 501
DURHAM, NC 27701
(919) 530-8888
Non-Participating ProviderNO
1558722660THE NAIL INSTITUTE INC
TRENDY NAILZ INSTITUTE
OrganizationCase Management4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
(919) 519-3239
Non-Participating ProviderNO
1952437790B&D INTEGRATED HEALTH SERVICESOrganizationCase Management249 E NC HIGHWAY 54 SUITE 320
DURHAM, NC 27713
(919) 753-1080
Non-Participating ProviderNO
1538633920COMMUNITY EXPERT SOLUTIONSOrganizationCase Management611 ASHBURN LN
DURHAM, NC 27703
(919) 289-2208
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.