Mary Nelson, LISW-CP in Summerville, SC - Medicare Counselor Provider

Mary Nelson, LISW-CP is a medicare enrolled "Counselor - Mental Health" provider in Summerville, South Carolina. Her current practice location is 500 N Main St, Summerville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 871-4790.

Mary Nelson is licensed to practice in South Carolina (license number 5548) 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 1760680540.

Contact Information

	Mary Nelson, LISW-CP
	500 N Main St, Summerville, SC 29483-6439
	(843) 871-4790
	(843) 871-8579

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Nelson
Gender	Female
Speciality	Counselor - Mental Health
Location	500 N Main St, Summerville, 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: 1760680540
Provider Enumeration Date: 07/03/2007
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 9436164266
Enrollment ID: I20060215000033

Medical Identifiers

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

Identifier	Type	State	Issuer
1760680540	NPI	-	NPPES
5548	Other	SC	LISW-CP LINCENSE
AD16DO	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	5548 (South Carolina)	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 Nelson allows following entities to bill medicare on her behalf.

Entity Name	Changes Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225344096 PECOS PAC ID: 3072895655 Enrollment ID: O20170113001528

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 Nelson 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 Nelson, LISW-CP 500 N Main St, Summerville, SC 29483-6439 Ph: (843) 871-4790	Mary Nelson, LISW-CP 500 N Main St, Summerville, SC 29483-6439 Ph: (843) 871-4790

Reviews and Comments

Counselor in Summerville, SC

Brian D Musolf, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 Old Trolley Rd, Summerville, SC 29485 Phone: 843-900-6767 Fax: 843-285-5916
Toya Renee Richardson, CACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Main St, Suit 4, Summerville, SC 29483 Phone: 843-871-4790 Fax: 843-871-8579
Mrs. Sarah Jo Bartusch, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Sigma Dr Ste 300, Summerville, SC 29486 Phone: 800-552-4357 Fax: 678-388-9244
Mrs. Kimberly T Mcclary, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Springview Ln, Summerville, SC 29485 Phone: 843-821-0444
Ms. Lori M Gant, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 W. 5th North Street, Suite C, Summerville, SC 29483 Phone: 843-695-8865 Fax: 843-695-8517
Laura Elizabeth Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 N Cedar St Ste 202, Summerville, SC 29483 Phone: 843-220-9672 Fax: 843-808-6830
Montina V Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 Springview Ln, Summerville, SC 29485 Phone: 843-873-5063

Mary Nelson, LISW-CP - Medicare Counselor in Summerville, SC