Mary L Locke, MA, NCC in Decatur, GA - Medicare Counselor Provider

Mary L Locke, MA, NCC is a medicare enrolled "Counselor" provider in Decatur, Georgia. Her current practice location is 445 Winn Way, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 508-6439.

Mary L Locke is licensed to practice in Georgia (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 1710513783.

Contact Information

	Mary L Locke, MA, NCC
	445 Winn Way, Decatur, GA 30030-1707
	(470) 508-6439
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary L Locke
Gender	Female
Speciality	Counselor
Location	445 Winn Way, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710513783
Provider Enumeration Date: 03/20/2020
Last Update Date: 03/20/2020

Medicare PECOS Information:

PECOS PAC ID: 8729439880
Enrollment ID: I20240112002815

Medical Identifiers

Medical identifiers for Mary L Locke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710513783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(Georgia)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101Y00000X	Counselor	(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. Mary L Locke allows following entities to bill medicare on her behalf.

Entity Name	Dekalb Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073686978 PECOS PAC ID: 8527958487 Enrollment ID: O20040316001099

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. Mary L Locke 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
Mary L Locke, MA, NCC 1509 Stone Gate Ln Se, Atlanta, GA 30317-2056 Ph: (912) 656-0059	Mary L Locke, MA, NCC 445 Winn Way, Decatur, GA 30030-1707 Ph: (470) 508-6439

Reviews and Comments

Counselor in Decatur, GA

Robin C Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3523 Moonlight Forest Ct, Decatur, GA 30034 Phone: 770-374-1605
Shaina Gordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, 221, Decatur, GA 30030 Phone: 404-292-3810
Sarah Davison, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3836
Giselle Amaris Jacob, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1244 Clairmont Rd Ste 204, Decatur, GA 30030 Phone: 404-818-6535
Mrs. Anna Christina Davis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 465 Winn Way, Suite 221, Decatur, GA 30030 Phone: 404-292-3810 Fax: 404-292-3848
Jacob Dreiling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1814 Clairmont Rd, Decatur, GA 30033 Phone: 404-636-1457 Fax: 404-636-7449
Nathaniel Flowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3232 Memorial Dr, Decatur, GA 30032 Phone: 678-235-5478

Mary L Locke, MA, NCC - Medicare Counselor in Decatur, GA