Mr Larry Dale Deyton, LPC in Ellijay, GA - Medicare Counselor Provider

Mr Larry Dale Deyton, LPC is a medicare enrolled "Counselor - Professional" provider in Ellijay, Georgia. His current practice location is 30 Omen Cir, #7132, Ellijay, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 633-3215.

Mr Larry Dale Deyton is licensed to practice in Georgia (license number LPC001871) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063554913.

Contact Information

	Mr Larry Dale Deyton, LPC
	30 Omen Cir, #7132, Ellijay, GA 30540-9664
	(706) 633-3215
	(706) 698-5525

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry Dale Deyton
Gender	Male
Speciality	Counselor - Professional
Location	30 Omen Cir, Ellijay, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063554913
Provider Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890135610
Enrollment ID: I20240426002425

Medical Identifiers

Medical identifiers for Mr Larry Dale Deyton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063554913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC001871 (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. Mr Larry Dale Deyton allows following entities to bill medicare on his behalf.

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

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. Mr Larry Dale Deyton 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
Mr Larry Dale Deyton, LPC 30 Omen Cir, #7132, Ellijay, GA 30540-9664 Ph: (706) 633-3215	Mr Larry Dale Deyton, LPC 30 Omen Cir, #7132, Ellijay, GA 30540-9664 Ph: (706) 633-3215

Reviews and Comments

Counselor in Ellijay, GA

Kimberly Bass, LPC, CPCS Counselor Medicare: Medicare Enrolled Practice Location: 71 Blue Mountain Ln, Ellijay, GA 30536 Phone: 122-930-0864
Peggy Scoggins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1179 Progress Rd, Ellijay, GA 30540 Phone: 706-635-2739 Fax: 706-635-2744
Tracy Hooper, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18090 Highway 515 N, 18090 Hwy 515 North, Ellijay, GA 30536 Phone: 706-276-2024 Fax: 706-276-1502
Mrs. Kerri Ann Sanford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 603 The Oaks Dr, Ellijay, GA 30540 Phone: 770-601-4488
Tina Jones, LPC013310 Counselor Medicare: Medicare Enrolled Practice Location: 206 Kell St, Ellijay, GA 30540 Phone: 770-380-1786
Hilary Fowler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1179 Progress Rd, Ellijay, GA 30540 Phone: 706-253-1112 Fax: 706-253-1120

Mr Larry Dale Deyton, LPC - Medicare Counselor in Ellijay, GA