Enricka Victoria Maddox, LPC in Conyers, GA - Medicare Counselor Provider

Enricka Victoria Maddox, LPC is a medicare enrolled "Counselor - Professional" provider in Conyers, Georgia. Her current practice location is 1500 Klondike Rd Sw Ste A103, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 609-1936.

Enricka Victoria Maddox is licensed to practice in Georgia (license number LPC008094) 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 1073281804.

Contact Information

	Enricka Victoria Maddox, LPC
	1500 Klondike Rd Sw Ste A103, Conyers, GA 30094-5115
	(770) 609-1936
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Enricka Victoria Maddox
Gender	Female
Speciality	Counselor - Professional
Location	1500 Klondike Rd Sw Ste A103, Conyers, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073281804
Provider Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021

Medicare PECOS Information:

PECOS PAC ID: 4587100847
Enrollment ID: I20240723001090

Medical Identifiers

Medical identifiers for Enricka Victoria Maddox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073281804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC008094 (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. Enricka Victoria Maddox allows following entities to bill medicare on her 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. Enricka Victoria Maddox 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
Enricka Victoria Maddox, LPC 45 Tabor Trce, Oxford, GA 30054-4049 Ph: (404) 453-3680	Enricka Victoria Maddox, LPC 1500 Klondike Rd Sw Ste A103, Conyers, GA 30094-5115 Ph: (770) 609-1936

Reviews and Comments

Counselor in Conyers, GA

Mr. Solomon Berewa, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Iris Dr Sw Ste D200, Conyers, GA 30094 Phone: 404-396-7890
Angel Jocelin Haye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2365 Wall St Se Ste 200-04, Conyers, GA 30013 Phone: 404-890-0125
Crystal N. Broughton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1775 Parker Rd Se Ste 210, Conyers, GA 30094 Phone: 470-967-8663 Fax: 678-218-4253
Dandrea R Sanders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1780b Southgate Ln Se, Conyers, GA 30013 Phone: 470-207-2044
Leroy Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Green St Se, Conyers, GA 30012 Phone: 770-929-1470
Tricia Anita Lopez, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1226 Royal Dr Sw, Conyers, GA 30094 Phone: 678-658-0645
Debra Lavette Hanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3204 Quincey Xing, Conyers, GA 30013 Phone: 404-803-1127

Enricka Victoria Maddox, LPC - Medicare Counselor in Conyers, GA