Jaketa Leena Groves, LPC in Stockbridge, GA - Medicare Counselor Provider

Jaketa Leena Groves, LPC is a medicare enrolled "Counselor - Professional" provider in Stockbridge, Georgia. Her current practice location is 522 Sharpstone Bnd, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (901) 626-4585.

Jaketa Leena Groves is licensed to practice in Georgia (license number LPC014112) 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 1376317487.

Contact Information

	Jaketa Leena Groves, LPC
	522 Sharpstone Bnd, Stockbridge, GA 30281-9434
	(901) 626-4585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jaketa Leena Groves
Gender	Female
Speciality	Counselor - Professional
Location	522 Sharpstone Bnd, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376317487
Provider Enumeration Date: 11/09/2023
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1254778715
Enrollment ID: I20240320002412

Medical Identifiers

Medical identifiers for Jaketa Leena Groves such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376317487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC014112 (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. Jaketa Leena Groves 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. Jaketa Leena Groves 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
Jaketa Leena Groves, LPC 522 Sharpstone Bnd, Stockbridge, GA 30281-9434 Ph: (901) 626-4585	Jaketa Leena Groves, LPC 522 Sharpstone Bnd, Stockbridge, GA 30281-9434 Ph: (901) 626-4585

Reviews and Comments

Counselor in Stockbridge, GA

Dr. Fredrick Antonia Thrasher, PHD, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Eagle Spring Dr Ste D, Stockbridge, GA 30281 Phone: 678-565-1400 Fax: 866-945-9685
Mireille Tercier Mackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Country Club Dr, Stockbridge, GA 30281 Phone: 678-782-7272
Mrs. Benita Campbell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Country Club Dr, Stockbridge, GA 30281 Phone: 678-782-3379
Shamia Lanae Turlington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1702 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 770-558-7956
Miss Marta Greer, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3887 Walt Stephens Rd, Stockbridge, GA 30281 Phone: 770-371-6191
Ms. Keisha Nichole Hood, MAMFT, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Country Club Dr, Suite E, Stockbridge, GA 30281 Phone: 678-671-9908
Grequenceo Coger, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1817 Saint Ives Xing, Stockbridge, GA 30281 Phone: 678-328-9571

Jaketa Leena Groves, LPC - Medicare Counselor in Stockbridge, GA