Kelly Stockdale, LPC in Flowery Branch, GA - Medicare Counselor Provider

Kelly Stockdale, LPC is a medicare enrolled "Counselor - Professional" provider in Flowery Branch, Georgia. Her current practice location is 4331 Thurmon Tanner Rd, Flowery Branch, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 513-5700.

Kelly Stockdale is licensed to practice in Georgia (license number LPC013004) 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 1265169742.

Contact Information

	Kelly Stockdale, LPC
	4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829
	(678) 513-5700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Stockdale
Gender	Female
Speciality	Counselor - Professional
Location	4331 Thurmon Tanner Rd, Flowery Branch, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265169742
Provider Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5294186599
Enrollment ID: I20240111001545

Medical Identifiers

Medical identifiers for Kelly Stockdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265169742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC013004 (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. Kelly Stockdale allows following entities to bill medicare on her behalf.

Entity Name	Georgia Mountains Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063522035 PECOS PAC ID: 8921094400 Enrollment ID: O20040421000783

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. Kelly Stockdale 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
Kelly Stockdale, LPC 231 Coosawattee Ave Sw, Rome, GA 30165-3508 Ph: (470) 377-0064	Kelly Stockdale, LPC 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542-2829 Ph: (678) 513-5700

Reviews and Comments

Counselor in Flowery Branch, GA

Sydney Hope Rosemore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6355 Spring Lake Dr, Flowery Branch, GA 30542 Phone: 678-488-1559
Dr. Barbara Wilson, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6439 Deep Woods Ct, Flowery Branch, GA 30542 Phone: 770-533-0759
Alana Marohnic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmond Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700 Fax: 678-513-5836
Nilda Pyronneau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700
Dr. Elizabeth Schneider Felton, PH.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4331 Thurmon Tanner Rd, Flowery Branch, GA 30542 Phone: 678-513-5700
Mr. Ronald Wesson Moran Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6464 Flowery Way, Flowery Branch, GA 30542 Phone: 706-266-0578
Tony Castleberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4816 Zephyr Cove Pl, Flowery Branch, GA 30542 Phone: 786-688-5367

Kelly Stockdale, LPC - Medicare Counselor in Flowery Branch, GA