Ethel London, LPC in Tucker, GA - Medicare Counselor Provider

Ethel London, LPC is a medicare enrolled "Counselor - Professional" provider in Tucker, Georgia. Her current practice location is 2227 Idlewood Rd, Suite 2, Tucker, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 922-2834.

Ethel London is licensed to practice in Georgia (license number LPC008319) 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 1295196186.

Contact Information

	Ethel London, LPC
	2227 Idlewood Rd, Suite 2, Tucker, GA 30084-4827
	(678) 922-2834
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ethel London
Gender	Female
Speciality	Counselor - Professional
Location	2227 Idlewood Rd, Tucker, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295196186
Provider Enumeration Date: 03/19/2016
Last Update Date: 03/19/2016

Medicare PECOS Information:

PECOS PAC ID: 1658712310
Enrollment ID: I20240513000465

Medical Identifiers

Medical identifiers for Ethel London such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295196186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC008319 (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. Ethel London 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. Ethel London 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
Ethel London, LPC Po Box 490112, Lawrenceville, GA 30049-0002 Ph: (404) 285-8122	Ethel London, LPC 2227 Idlewood Rd, Suite 2, Tucker, GA 30084-4827 Ph: (678) 922-2834

Reviews and Comments

Counselor in Tucker, GA

Courtney Jones-hall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3469 Lawrenceville Hwy, Suite 201, Tucker, GA 30084 Phone: 770-723-7700 Fax: 770-723-7700
Jessica Ringsmuth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2376 Main St Ste A, Tucker, GA 30084 Phone: 470-658-0710
Dr. Natasha Moon, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Main St, Suite B-1, Tucker, GA 30084 Phone: 470-525-0033
Mrs. Bhavini Solanki-vasan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3547 Habersham At Northlake, Bldg F, Tucker, GA 30084 Phone: 678-406-9707 Fax: 678-406-9881
Kyshia Brooks, LCAS/OWNER Counselor Medicare: Not Enrolled in Medicare Practice Location: 4500 Hugh Howell Rd Ste 430, Tucker, GA 30084 Phone: 470-668-9295
Mrs. Barbara Deanne Beaton, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4823 N Royal Atlanta Dr, Tucker, GA 30084 Phone: 770-939-2121
Ms. Chelsea Alexis Green, LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3552 Habersham At Northlake, Tucker, GA 30084 Phone: 404-862-4332

Ethel London, LPC - Medicare Counselor in Tucker, GA