Leslie Nuckolls, LPC in Camden, SC - Medicare Counselor Provider

Leslie Nuckolls, LPC is a medicare enrolled "Counselor - Professional" provider in Camden, South Carolina. Her current practice location is 222 Hackamore Lane, Camden, South Carolina. You can reach out to her office (for appointments etc.) via phone at (770) 845-6711.

Leslie Nuckolls is licensed to practice in Georgia (license number LPC009657) 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 1316445992.

Contact Information

	Leslie Nuckolls, LPC
	222 Hackamore Lane, Camden, SC 29020-1755
	(770) 845-6711
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie Nuckolls
Gender	Female
Speciality	Counselor - Professional
Location	222 Hackamore Lane, Camden, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316445992
Provider Enumeration Date: 01/29/2018
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3274982012
Enrollment ID: I20231206000114

Medical Identifiers

Medical identifiers for Leslie Nuckolls such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316445992	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC009657 (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. Leslie Nuckolls allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20120504000149

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. Leslie Nuckolls 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
Leslie Nuckolls, LPC 945 N Point Dr, Alpharetta, GA 30022-8266 Ph: () -	Leslie Nuckolls, LPC 222 Hackamore Lane, Camden, SC 29020-1755 Ph: (770) 845-6711

Reviews and Comments

Counselor in Camden, SC

Mr. Whitney R Keen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 Liberty Hill Rd., Swcmhc/kershaw Cmhc, Camden, SC 29020 Phone: 803-432-5323 Fax: 803-713-3978
Christina Velasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Mill St, Camden, SC 29020 Phone: 803-432-6902
Mrs. Tawana N Hayes-newton, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 709 Mill St, Camden, SC 29020 Phone: 803-432-6902
Elizabeth Diller, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Mill Street, Camden, SC 29020 Phone: 803-432-6902
Ms. Brenda L Watson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 Liberty Hill Rd, Camden, SC 29020 Phone: 803-432-5323 Fax: 803-713-3978
Mrs. Sara Ellen Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Mill St, Camden, SC 29020 Phone: 803-432-6902
Kiley Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 Liberty Hill Rd, Camden, SC 29020 Phone: 803-432-5323

Leslie Nuckolls, LPC - Medicare Counselor in Camden, SC