Gary Hodges Sullivan, LPC in Dahlonega, GA - Medicare Counselor Provider

Gary Hodges Sullivan, LPC is a medicare enrolled "Counselor - Mental Health" provider in Dahlonega, Georgia. His current practice location is 153 School Dr, Dahlonega, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 973-3215.

Gary Hodges Sullivan is licensed to practice in Georgia (license number LPC008887) 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 1790231207.

Contact Information

	Gary Hodges Sullivan, LPC
	153 School Dr, Dahlonega, GA 30533-0313
	(706) 973-3215
	(706) 973-3216

Map and Direction

Healthcare Provider's Profile

Full Name	Gary Hodges Sullivan
Gender	Male
Speciality	Counselor - Mental Health
Location	153 School Dr, Dahlonega, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790231207
Provider Enumeration Date: 08/26/2016
Last Update Date: 11/09/2023

Medicare PECOS Information:

PECOS PAC ID: 3870946221
Enrollment ID: I20240201001492

Medical Identifiers

Medical identifiers for Gary Hodges Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790231207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC008887 (Georgia)	Secondary
101YM0800X	Counselor - Mental Health	LPC008887 (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. Gary Hodges Sullivan allows following entities to bill medicare on his behalf.

Entity Name	Georgia Mountains Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538123666 PECOS PAC ID: 7719974831 Enrollment ID: O20040429000383

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. Gary Hodges Sullivan 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
Gary Hodges Sullivan, LPC 165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 Ph: (706) 946-5607	Gary Hodges Sullivan, LPC 153 School Dr, Dahlonega, GA 30533-0313 Ph: (706) 973-3215

Reviews and Comments

Counselor in Dahlonega, GA

Rebecca Gay Baldwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 487 Morrison Moore Pkwy W, Dahlonega, GA 30533 Phone: 706-344-8461 Fax: 706-348-6065
Mrs. Natalie Gibson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 330 Mount Sinai Dr, Dahlonega, GA 30533 Phone: 706-482-2040 Fax: 706-482-2059
Mrs. Elizabeth Ann Pautsch, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 487 Morrison Moore Pkwy W, Dahlonega, GA 30533 Phone: 706-344-8462 Fax: 706-348-6065
Douglas E Sills, LPC# 004634 Counselor Medicare: Not Enrolled in Medicare Practice Location: 150a Johnson St, Dahlonega, GA 30533 Phone: 706-864-6822
Joy Lynne Wunderlich, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 487 Morrison Moore Pkwy W, Dahlonega, GA 30533 Phone: 706-344-8461 Fax: 706-348-6065
Mr. Gary Donald Souders, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150a Johnson St, Dahlonega, GA 30533 Phone: 706-864-6822 Fax: 706-864-5858
Jamie Regan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 588 Chinkapin Dr, Dahlonega, GA 30533 Phone: 706-300-9967

Gary Hodges Sullivan, LPC - Medicare Counselor in Dahlonega, GA