Cocise Grace, LPC in Johns Creek, GA - Medicare Counselor Provider

Cocise Grace, LPC is a medicare enrolled "Counselor - Professional" provider in Johns Creek, Georgia. Her current practice location is 10090 Medlock Bridge Rd Ste 100, Johns Creek, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 482-6508.

Cocise Grace is licensed to practice in Georgia (license number LPC010207) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114405057.

Contact Information

	Cocise Grace, LPC
	10090 Medlock Bridge Rd Ste 100, Johns Creek, GA 30097-4428
	(470) 482-6508
	(770) 476-9750

Map and Direction

Healthcare Provider's Profile

Full Name	Cocise Grace
Gender	Female
Speciality	Counselor - Professional
Location	10090 Medlock Bridge Rd Ste 100, Johns Creek, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114405057
Provider Enumeration Date: 08/02/2018
Last Update Date: 08/02/2018

Medicare PECOS Information:

PECOS PAC ID: 1254777337
Enrollment ID: I20240312000559

Medical Identifiers

Medical identifiers for Cocise Grace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114405057	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC010207 (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. Cocise Grace allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Cocise Grace 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
Cocise Grace, LPC 250 Corporate Center Ct, Stockbridge, GA 30281-6388 Ph: (770) 389-8100	Cocise Grace, LPC 10090 Medlock Bridge Rd Ste 100, Johns Creek, GA 30097-4428 Ph: (470) 482-6508

Reviews and Comments

Counselor in Johns Creek, GA

Alyssa Kiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 Old Alabama Rd Ste 200, Johns Creek, GA 30022 Phone: 678-893-5300
Jessica Crolley Slovensky, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6470 E Johns Xing Ste 160, Johns Creek, GA 30097 Phone: 404-625-3031
Sarah Kathleen Batzel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10090 Medlock Bridge Rd, Johns Creek, GA 30097 Phone: 470-482-6508
Jenny Casteel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10050 Medlock Bridge Rd, Johns Creek, GA 30097 Phone: 678-983-8993
Samantha Deane Hartman, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 10700 State Bridge Rd Ste 6, Johns Creek, GA 30022 Phone: 770-802-8019
Cara Lindell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2750 Old Alabama Rd # 200, Johns Creek, GA 30022 Phone: 678-893-5300
Mr. David Roger Tillis, LPC, NCC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9635 Ventana Way, Suite 101, Johns Creek, GA 30022 Phone: 770-495-6339 Fax: 770-495-6338

Cocise Grace, LPC - Medicare Counselor in Johns Creek, GA