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DMA ADMINISTRATIVE LETTER NO: 15-04, Enrolled Presumptive Eligibility Providers

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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