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DATE: APRIL 27, 2004
SUBJECT: Enrolled Presumptive Eligibility Providers
DISTRIBUTION: County Directors of Social Services
Medicaid Supervisors
The purpose of this letter is to provide county departments of social services with an updated list of enrolled presumptive eligibility providers.
County departments should only accept presumptive eligibility applications from providers listed in this letter. If you have questions concerning a provider’s enrollment status, please call the Provider Services Unit at 919-857-4017.
This obsoletes DMA Administrative Letter 26-01 and 26-01, Addendum 1.
Alamance County Health Department |
3404469 |
Alexander County Health Department |
3404482 |
Anderson Creek Medical Group |
344510A/C/D |
Anson County Health Department |
3404465 |
Appalachian District Health Department |
3404485 |
Aurora Medical Center |
344559A/C |
Beaufort County Health Department |
3404307 |
Benhaven Medical Center (Western Medical Group) |
344508A/C |
Bertie County Rural Health Association |
344512A/C |
Bladen County Health Department |
3404454 |
Blue Ridge Health Center |
344556A |
Boone Trail Medical Center (Western Medical Group) |
344509A/C |
Brunswick County Health Department |
3404476 |
Buncombe County Health Department |
3404443 |
Burke County Health Department |
3404312 |
Cabarrus County Health Department |
3404425 |
Caldwell County Health Department |
3404464 |
Carolinas Medical Center |
3400113 |
Caswell County Health Department |
3404418 |
Caswell Family Medical Center |
344506A/C |
Catawba County Health Department |
3404426 |
Chatham County Health Department |
3404419 |
DMA Administrative Letter No. 15-04
Page 2
Cherokee County Health Department |
3404488 |
Cherokee Health Delivery System |
890123K |
Columbus County Health Department |
3404487 |
Craven County Health Department |
3404428 |
Cumberland County Health Department |
3404326 |
Dare County Health Department |
3404448 |
Davie County Health Department |
3404459 |
Duke University Medical Center- Private Diagnostic Clinic |
7907025 |
Duplin County Health Department |
3404430 |
ECU School of Medicine Clinics |
8907027 |
Fayetteville Area Health Education Center |
8901894 |
Franklin County Health Department |
3404335 |
Gaston County Health Department |
3404444 |
Goshen Medical |
344558A |
Granville County Health Department |
3404339 |
Greene County Health Department |
3404442 |
Guilford County Health Department |
3404432 |
Halifax County Health Department |
3404433 |
Harnett County Health Department |
3404343 |
Haywood County Health Department |
3404434 |
Henderson County Health Department |
3404345 |
Hoke County Health Department |
3404347 |
Hyde County Health Department |
3404348 |
Iredell County Health Department |
3404494 |
Jackson County Health Department |
3404451 |
Johnston County Health Department |
3404351 |
Jones County Health Department |
3404472 |
Julian T. Pierce Health Care |
344568A |
Lee County Health Department |
3404420 |
Lenoir County Health Department |
3404354 |
Lincoln Community Health Center |
344500A/C/D |
Lincoln County Health Department |
3404483 |
Linville Family Medicine |
891118R |
Macon County Health Department |
3404441 |
Madison County Health Department |
3404457 |
Martin, Tyrrell, and Washington District Health |
3404410 |
Mecklenburg County Health Department |
3404437 |
Metrolina Health Comprehensive Health Center |
344507A |
Montgomery County Health Department |
3404438 |
Moore County Health Department |
3404468 |
Mountain Area Health Education Center (MAHEC) Women’s Health Center |
890217K |
Nash County Health Department |
3404439 |
New Hanover County Health Department |
3404365 |
New Hanover Regional Medical |
3400141 |
Northampton County Health Department |
3404461 |
DMA Administrative Letter No. 15-04
Page 3
OB/GYN Associates of Roanoke Amaranth |
890207A |
Orange County Health Department |
3404368 |
Pamlico County Health Department |
3404447 |
Pardee Women’s Health Center |
3404435 |
Park Ridge Women’s Services |
3404435 |
Pender County Health Department |
3404424 |
Person County Health Department |
3404421 |
Piedmont Health Services |
344503A/B/C/D |
Pitt County Health Department |
3404463 |
Pitt County Memorial Hospital Inc. |
3400040 |
Randolph County Health Department |
3404376 |
Richmond County Health Department |
3404466 |
Rockingham County Health Department |
3404480 |
Rowan County Health Department |
3404498 |
Rutherford-Polk-McDowell Health District |
3404411 |
Sampson County Health Department |
3404455 |
Scotland County Health Department |
3404445 |
Stanly County Health Department |
3404384 |
Stokes County Health Department |
3404385 |
Swain County Health Department |
3404473 |
Toe River Health District |
3404484 |
Transylvania County Health Department |
3404499 |
Tri-County Community Health Center |
344560A/B/C/D/E |
Twin County Rural Health Center |
344565A/C/D |
UNC Physician’s and Associates |
7907035 |
Union County Health Department |
3404390 |
University Professional Services, (AHEC) |
7903024 |
University of North Carolina Hospitals |
3400061 |
Vance County Health Department |
3404391 |
Wake County Health Department |
3404392 |
Warren County Health Department |
3404474 |
Washington County Health Department |
3404394 |
Wayne County Health Department |
3404479 |
Wilkes County Health Department |
3404397 |
Wilson County Health Department |
3404458 |
Yadkin County Health Department |
3404460 |
Please refer questions regarding this information to your Medicaid Program Representative.
Gary Fuquay
Director
[This material was researched and written by Renee Carlton-Pettiford, Policy Consultant, Medicaid Eligibility Unit.]
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For questions or clarification on any of the policy contained in these manuals, please contact your local county office. |
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