Clinton R Gholson, LPC in Canyon Lake, TX - Medicare Counselor Provider

Clinton R Gholson, LPC is a medicare enrolled "Counselor - Professional" provider in Canyon Lake, Texas. His current practice location is 650 Scarbourough, Canyon Lake, Texas. You can reach out to his office (for appointments etc.) via phone at (830) 964-4390.

Clinton R Gholson is licensed to practice in Texas (license number 77796) 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 1457823734.

Contact Information

	Clinton R Gholson, LPC
	650 Scarbourough, Canyon Lake, TX 78133-4529
	(830) 964-4390
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clinton R Gholson
Gender	Male
Speciality	Counselor - Professional
Location	650 Scarbourough, Canyon Lake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457823734
Provider Enumeration Date: 12/26/2018
Last Update Date: 12/26/2018

Medicare PECOS Information:

PECOS PAC ID: 6901245950
Enrollment ID: I20240423003889

Medical Identifiers

Medical identifiers for Clinton R Gholson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457823734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	77796 (Texas)	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. Clinton R Gholson allows following entities to bill medicare on his behalf.

Entity Name	Taral Sharma Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477112597 PECOS PAC ID: 0244568152 Enrollment ID: O20190829002356

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. Clinton R Gholson 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
Clinton R Gholson, LPC 5447 Hawk Eye Dr, Bulverde, TX 78163-2255 Ph: (210) 392-9520	Clinton R Gholson, LPC 650 Scarbourough, Canyon Lake, TX 78133-4529 Ph: (830) 964-4390

Reviews and Comments

Counselor in Canyon Lake, TX

Anita Louise Lightfoot, LPC INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 26229 N Cranes Mill Rd, Canyon Lake, TX 78133 Phone: 830-214-1559
Haleigh Nicole Castillo, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 26229 N Cranes Mill Rd, Canyon Lake, TX 78133 Phone: 830-730-5096
Lynette Slebrch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 26229 N Cranes Mill Rd, Canyon Lake, TX 78133 Phone: 830-217-3526
Sheryl Rene Hopper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Scarbourough, Canyon Lake, TX 78133 Phone: 830-964-4390 Fax: 830-964-4391
Kira Marie Arrillaga, LCDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 26229 N Cranes Mill Rd, Canyon Lake, TX 78133 Phone: 816-888-1521
Lorena L Peaslee, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Scarbourough, Canyon Lake, TX 78133 Phone: 830-964-4390
Anthony A.m. Pearson, MA, MED, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 1768 Fm 2673 Unit 2, Canyon Lake, TX 78133 Phone: 210-632-0358

Clinton R Gholson, LPC - Medicare Counselor in Canyon Lake, TX