Kendall Disa Boges, LPC in Brunswick, GA - Medicare Counselor Provider

Kendall Disa Boges, LPC is a medicare enrolled "Counselor - Professional" provider in Brunswick, Georgia. Her current practice location is 1600 Ellis St, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 289-1626.

Kendall Disa Boges is licensed to practice in Georgia (license number LPC011466) 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 1013634179.

Contact Information

	Kendall Disa Boges, LPC
	1600 Ellis St, Brunswick, GA 31520-6737
	(912) 289-1626
	(912) 289-2414

Map and Direction

Healthcare Provider's Profile

Full Name	Kendall Disa Boges
Gender	Female
Speciality	Counselor - Professional
Location	1600 Ellis St, Brunswick, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013634179
Provider Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 6800244161
Enrollment ID: I20231127002061

Medical Identifiers

Medical identifiers for Kendall Disa Boges such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013634179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC011466 (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. Kendall Disa Boges allows following entities to bill medicare on her behalf.

Entity Name	Coastal Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609298751 PECOS PAC ID: 0345463683 Enrollment ID: O20140731001948

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. Kendall Disa Boges 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
Kendall Disa Boges, LPC 191 Drew Cir, Brunswick, GA 31525-1049 Ph: (912) 580-6578	Kendall Disa Boges, LPC 1600 Ellis St, Brunswick, GA 31520-6737 Ph: (912) 289-1626

Reviews and Comments

Counselor in Brunswick, GA

Kristen A Keene, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 F St Ste 202, Brunswick, GA 31520 Phone: 912-319-4041
Austin Gleaton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 502 Gloucester St Ste 204, Brunswick, GA 31520 Phone: 912-289-2497
Heinrich Peter Tesch Von Cultz Ii, LIPC LIMFT MAC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1638 Norwich Street, Brunswick, GA 31520 Phone: 912-342-7217 Fax: 912-342-7216
Stephanie Roselind Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3110 Parkwood Dr, Brunswick, GA 31520 Phone: 912-464-0830
Mary Barnes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Saint Andrews Ct, Brunswick, GA 31520 Phone: 912-257-5858
Loretta Patrice Jackson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 Honeygal Rd, Brunswick, GA 31525 Phone: 191-224-2279

Kendall Disa Boges, LPC - Medicare Counselor in Brunswick, GA