Grace Potter, LPN, MS, LPC is a medicare enrolled "Counselor - Mental Health" provider in Hanceville, Alabama. Her current practice location is
1318 Commercial St Ne, Hanceville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 735-3624.
Grace Potter is licensed to practice in Alabama (license number 4450) 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 1154730562.
Healthcare Provider's Profile
Full Name | Grace Potter |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1318 Commercial St Ne, Hanceville, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1154730562
- Provider Enumeration Date: 08/11/2014
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 5698146116
- Enrollment ID: I20240315001528
Medical Identifiers
Medical identifiers for Grace Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154730562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 4450 (Alabama) | 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. Grace Potter allows following entities to bill medicare on her behalf.
Entity Name | Choices Family Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104530138 PECOS PAC ID: 4385080092 Enrollment ID: O20240315001424 |
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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. Grace Potter 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 |
Grace Potter, LPN, MS, LPC 1318 Commercial St Ne, Hanceville, AL 35077-5512 Ph: (256) 338-8796 | Grace Potter, LPN, MS, LPC 1318 Commercial St Ne, Hanceville, AL 35077-5512 Ph: (256) 735-3624 |
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