Lisa Davis, MA,MS,LPC in Locust Grove, GA - Medicare Counselor Provider

Lisa Davis, MA,MS,LPC is a medicare enrolled "Counselor - Professional" provider in Locust Grove, Georgia. Her current practice location is 8040 Louis Dr, Locust Grove, Georgia. You can reach out to her office (for appointments etc.) via phone at (708) 955-8451.

Lisa Davis is licensed to practice in * (Not Available) (license number ) 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 1598368789.

Contact Information

	Lisa Davis, MA,MS,LPC
	8040 Louis Dr, Locust Grove, GA 30248-7111
	(708) 955-8451
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Davis
Gender	Female
Speciality	Counselor - Professional
Location	8040 Louis Dr, Locust Grove, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598368789
Provider Enumeration Date: 11/19/2020
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 2961946728
Enrollment ID: I20240703002086

Medical Identifiers

Medical identifiers for Lisa Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598368789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	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. Lisa Davis allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Lisa Davis 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
Lisa Davis, MA,MS,LPC 8040 Louis Dr, Locust Grove, GA 30248-7111 Ph: (708) 955-8451	Lisa Davis, MA,MS,LPC 8040 Louis Dr, Locust Grove, GA 30248-7111 Ph: (708) 955-8451

Reviews and Comments

Counselor in Locust Grove, GA

Ms. Oyinlola Ajoke Winfunle, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 Laughlin Dr, Locust Grove, GA 30248 Phone: 770-320-7501 Fax: 770-320-7501
Stephanie Jones Headen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Peeksville Rd., Locust Grove, GA 30248 Phone: 855-728-4997 Fax: 855-728-4997
Ms. Angela Leigh Craig, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Price Dr E, Locust Grove, GA 30248 Phone: 770-853-3352
Ramona Mott, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1263 Coan Dr, Locust Grove, GA 30248 Phone: 706-725-9268
Mrs. Krystyna Dubose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Club Dr, Locust Grove, GA 30248 Phone: 407-460-9344
Makeesa Johnson, LPC009493 Counselor Medicare: Not Enrolled in Medicare Practice Location: 4920 Bill Gardner Pkwy Ste 4922, Locust Grove, GA 30248 Phone: 305-206-3717

Lisa Davis, MA,MS,LPC - Medicare Counselor in Locust Grove, GA