Mrs Elizabeth Ray Glaze, LPC in Martinez, GA - Medicare Counselor Provider

Mrs Elizabeth Ray Glaze, LPC is a medicare enrolled "Counselor - Professional" provider in Martinez, Georgia. Her current practice location is 1105 Furys Ln Ste D, Martinez, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 288-5082.

Mrs Elizabeth Ray Glaze is licensed to practice in Georgia (license number LPC003774) 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 1790887206.

Contact Information

	Mrs Elizabeth Ray Glaze, LPC
	1105 Furys Ln Ste D, Martinez, GA 30907-8238
	(706) 288-5082
	(706) 863-0941

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Elizabeth Ray Glaze
Gender	Female
Speciality	Counselor - Professional
Location	1105 Furys Ln Ste D, Martinez, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790887206
Provider Enumeration Date: 09/04/2006
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 3173969987
Enrollment ID: I20240319002614

Medical Identifiers

Medical identifiers for Mrs Elizabeth Ray Glaze such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790887206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC003774 (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. Mrs Elizabeth Ray Glaze allows following entities to bill medicare on her behalf.

Entity Name	Elizabeth R Glaze Lpc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912283508 PECOS PAC ID: 8628414430 Enrollment ID: O20240319002371

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. Mrs Elizabeth Ray Glaze 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
Mrs Elizabeth Ray Glaze, LPC Po Box 238, Appling, GA 30802-0238 Ph: (706) 288-5082	Mrs Elizabeth Ray Glaze, LPC 1105 Furys Ln Ste D, Martinez, GA 30907-8238 Ph: (706) 288-5082

Reviews and Comments

Counselor in Martinez, GA

Ms. Genette Mary Phelps, MHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4512 Jessie Rd, Martinez, GA 30907 Phone: 706-814-6779
Latasha Abraham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd, Suite 5d, Martinez, GA 30907 Phone: 706-836-3193
Judith L. Wolfe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Pleasant Home Rd, Suite B-2, Martinez, GA 30907 Phone: 706-513-1313 Fax: 706-854-0432
Shatisha Matrice Wilson, MS, LPC, RPT-S, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Ste 13b, Martinez, GA 30907 Phone: 706-496-2856 Fax: 762-333-2872
Donna Still, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4434 Columbia Rd, Ste 203, Martinez, GA 30907 Phone: 706-305-3137
Leslie Johnson Owen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3711 Executive Center Dr., Suite 101, Martinez, GA 30907 Phone: 706-210-8855 Fax: 678-541-7699
Mrs. Quiana Matthews, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4210 Columbia Rd Ste 17b, Martinez, GA 30907 Phone: 706-496-3479 Fax: 762-320-5363

Mrs Elizabeth Ray Glaze, LPC - Medicare Counselor in Martinez, GA