Earnest Russell Reaves, LCPC in Edgewood, MD - Medicare Counselor Provider

Earnest Russell Reaves, LCPC is a medicare enrolled "Counselor - Professional" provider in Edgewood, Maryland. His current practice location is 3109 Ebbtide Dr, Edgewood, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 691-4982.

Earnest Russell Reaves is licensed to practice in Maryland (license number LC8273) 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 1164936738.

Contact Information

	Earnest Russell Reaves, LCPC
	3109 Ebbtide Dr, Edgewood, MD 21040-2920
	(443) 691-4982
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Earnest Russell Reaves
Gender	Male
Speciality	Counselor - Professional
Location	3109 Ebbtide Dr, Edgewood, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164936738
Provider Enumeration Date: 11/18/2017
Last Update Date: 11/18/2017

Medicare PECOS Information:

PECOS PAC ID: 6305383126
Enrollment ID: I20240730000709

Medical Identifiers

Medical identifiers for Earnest Russell Reaves such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164936738	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LC8273 (Maryland)	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. Earnest Russell Reaves allows following entities to bill medicare on his behalf.

Entity Name	Integrated Counseling Professionals Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245701119 PECOS PAC ID: 7618414434 Enrollment ID: O20240730000429

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. Earnest Russell Reaves 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
Earnest Russell Reaves, LCPC 3109 Ebbtide Dr, Edgewood, MD 21040-2920 Ph: (443) 691-4982	Earnest Russell Reaves, LCPC 3109 Ebbtide Dr, Edgewood, MD 21040-2920 Ph: (443) 691-4982

Reviews and Comments

Counselor in Edgewood, MD

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Earnest Russell Reaves, LCPC - Medicare Counselor in Edgewood, MD