Christian Javier Carmona-carlo, in Duluth, GA

Christian Javier Carmona-carlo, is a medicare enrolled "Counselor - Professional" provider in Duluth, Georgia. His current practice location is 3350 Breckinridge Blvd Ste 200, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 962-8396.

Christian Javier Carmona-carlo is licensed to practice in Georgia (license number LPC012123) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053988089.

Contact Information

	Christian Javier Carmona-carlo,
	3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959
	(770) 962-8396
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Christian Javier Carmona-carlo
Gender	Male
Speciality	Counselor - Professional
Location	3350 Breckinridge Blvd Ste 200, Duluth, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053988089
Provider Enumeration Date: 06/08/2021
Last Update Date: 06/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7113464363
Enrollment ID: I20240806000273

Medical Identifiers

Medical identifiers for Christian Javier Carmona-carlo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053988089	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC012123 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christian Javier Carmona-carlo allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christian Javier Carmona-carlo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Christian Javier Carmona-carlo, 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959 Ph: (770) 962-8396	Christian Javier Carmona-carlo, 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096-4959 Ph: (770) 962-8396

Reviews and Comments

Counselor in Duluth, GA

S. Nyambura Kihato, M.A., M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3160 Main St Ste 102, Duluth, GA 30096 Phone: 470-736-9595
Mr. Bryan Mild Golson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 Phone: 770-962-8396
Vanessa Chambers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3305 Breckinridge Blvd, Duluth, GA 30096 Phone: 770-495-9775
William Powers, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1810 Peachtree Industrial Blvd Ste 120, Duluth, GA 30097 Phone: 678-473-7972
Christina Ingram, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2180 Satellite Blvd Ste 400, Duluth, GA 30097 Phone: 770-464-5831 Fax: 844-735-7253
Patricia Gray Di Rito, MA, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1810 Peachtree Industrial Blvd, Suite 155, Duluth, GA 30097 Phone: 770-845-1646

Christian Javier Carmona-carlo, - Medicare Counselor in Duluth, GA