Mrs Irene Elizabeth Ferguson, LPC in Lilburn, GA

Mrs Irene Elizabeth Ferguson, LPC is a medicare enrolled "Counselor - Professional" provider in Lilburn, Georgia. Her current practice location is 912 Killian Hill Rd Sw Ste 202e, Lilburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 765-7759.

Mrs Irene Elizabeth Ferguson is licensed to practice in Georgia (license number LPC010204) 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 1326519802.

Contact Information

	Mrs Irene Elizabeth Ferguson, LPC
	912 Killian Hill Rd Sw Ste 202e, Lilburn, GA 30047-3110
	(770) 765-7759
	(678) 658-2215

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Irene Elizabeth Ferguson
Gender	Female
Speciality	Counselor - Professional
Location	912 Killian Hill Rd Sw Ste 202e, Lilburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326519802
Provider Enumeration Date: 12/10/2018
Last Update Date: 01/24/2024

Medicare PECOS Information:

PECOS PAC ID: 1658715354
Enrollment ID: I20240221003175

Medical Identifiers

Medical identifiers for Mrs Irene Elizabeth Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326519802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC010204 (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. Mrs Irene Elizabeth Ferguson allows following entities to bill medicare on her behalf.

Entity Name	Serene Life Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124880364 PECOS PAC ID: 0749624443 Enrollment ID: O20240221003003

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. Mrs Irene Elizabeth Ferguson 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
Mrs Irene Elizabeth Ferguson, LPC 4023 Deerbrook Way Sw, Lilburn, GA 30047-3220 Ph: (404) 263-8684	Mrs Irene Elizabeth Ferguson, LPC 912 Killian Hill Rd Sw Ste 202e, Lilburn, GA 30047-3110 Ph: (770) 765-7759

Reviews and Comments

Counselor in Lilburn, GA

Ameleo D Manuel, M.A. LPCA. NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047 Phone: 770-217-7563 Fax: 770-818-5753
Ms. Tinesha A Sallard, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Amberleaf Walk, Lilburn, GA 30047 Phone: 267-304-5909
Dr. David S. White, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1025 Killian Hill Rd Sw Ste J, Lilburn, GA 30047 Phone: 857-277-3352
Judi Michelle Winbush, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1373 Crooked Tree Ct Sw, Lilburn, GA 30047 Phone: 404-452-0324
Nicole Fuentes, LPC, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5440 Lawrenceville Hwy Nw, Lilburn, GA 30047 Phone: 678-802-9355 Fax: 678-802-9355
Ms. Melodie Anne (or Desanto) Head, Counselor Medicare: Not Enrolled in Medicare Practice Location: 733 Village Creek Dr Sw, Lilburn, GA 30047 Phone: 770-381-1273
Dr. Lisa Monette Tait, LPC Counselor Medicare: Medicare Enrolled Practice Location: 5238 Ashley Dr Sw, Lilburn, GA 30047 Phone: 770-356-0101 Fax: 770-925-0305

Mrs Irene Elizabeth Ferguson, LPC - Medicare Counselor in Lilburn, GA