Cassidy Marie Labrec
Individual provider Active NPI Physician Assistant · York, SC
NPI 1053956326 · NPPES record last updated Nov 11, 2019
Key facts
- NPI
- 1053956326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 4544 River Shore Dr
York, SC 29745-7631 - Phone
- (704) 577-4431
- NPI assigned
- Nov 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of South Carolina School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Atrium Health Specialty Network Inc
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 468-8874
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
- Atrium Health Union
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210818000627 | SC | Practitioner - Physician Assistant | 0840695615 | Reassigns benefits to 1 organization |
| I20220324000512 | NC | Practitioner - Physician Assistant | 0840695615 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3782 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Medical Center | Current |
Accepting new patients | |
| Carolinas Physicians Network Inc | Current |
Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current |
Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
4544 River Shore Dr
York, SC 29745-7631
Mailing address
4544 River Shore Dr
York, SC 29745-7631
Other providers in York, SC
- Zachary Alexander Knecht
- Beth D Kophazi
- Nikolay Korneychuk
- Taylor Kriley
- Ben Krug
- Jennifer B Lemmon
- Shawna Lewis
- Katreka Limous-Durham
- Mitchell Seth Littleton
- LMS Logistics
All providers in York, SC · Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.