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

Mr Larry Dale Deyton, LPC is a medicare enrolled "Counselor - Professional" provider in Blue Ridge, Georgia. His current practice location is 990 E Main St Ste 10, Blue Ridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 897-3011.

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
	990 E Main St Ste 10, Blue Ridge, GA 30513-4534
	(706) 897-3011
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Larry Dale Deyton
Gender	Male
Speciality	Counselor - Professional
Location	990 E Main St Ste 10, Blue Ridge, 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: 09/25/2024

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 990 E Main St Ste 10, Blue Ridge, GA 30513-4534 Ph: (706) 897-3011	Mr Larry Dale Deyton, LPC 990 E Main St Ste 10, Blue Ridge, GA 30513-4534 Ph: (706) 897-3011

Reviews and Comments

Counselor in Blue Ridge, GA

Ms. Laura Elizabeth Parker, LPC Counselor Medicare: Medicare Enrolled Practice Location: 101 Riverstone Vis, Suite 201 A, Blue Ridge, GA 30513 Phone: 770-235-1059
Ms. Susan K Kauffman, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 146 Depot St Ste 202, Blue Ridge, GA 30513 Phone: 706-964-6111 Fax: 706-964-6111
Marvin A. Mcroberts, PSYCHOTHERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Davenport Mountain Rd, Blue Ridge, GA 30513 Phone: 706-258-6226 Fax: 708-258-6226
Vicki L Van Deilen, M ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Main St, Suite 302, Blue Ridge, GA 30513 Phone: 419-351-5111 Fax: 828-837-8410
Deborah H Mikos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 W Main St, Suite101, Blue Ridge, GA 30513 Phone: 706-455-2490
Dr. Edward Lee Boye, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Suite 201a, Blue Ridge, GA 30513 Phone: 423-496-9878

Mr Larry Dale Deyton, LPC - Medicare Counselor in Blue Ridge, GA