Mrs Glendora Dvine, LPC in Hampton, GA - Medicare Counselor Provider

Mrs Glendora Dvine, LPC is a medicare enrolled "Counselor - Professional" provider in Hampton, Georgia. Her current practice location is 141 Bridgemill Dr, Hampton, Georgia. You can reach out to her office (for appointments etc.) via phone at (782) 125-1466.

Mrs Glendora Dvine is licensed to practice in Georgia (license number 006210) 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 1144540535.

Contact Information

	Mrs Glendora Dvine, LPC
	141 Bridgemill Dr, Hampton, GA 30228-5536
	(782) 125-1466
	(788) 313-5546

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Glendora Dvine
Gender	Female
Speciality	Counselor - Professional
Location	141 Bridgemill Dr, Hampton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144540535
Provider Enumeration Date: 06/08/2010
Last Update Date: 01/31/2024

Medicare PECOS Information:

PECOS PAC ID: 0547575763
Enrollment ID: I20240405003058

Medical Identifiers

Medical identifiers for Mrs Glendora Dvine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144540535	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	006210 (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 Glendora Dvine allows following entities to bill medicare on her behalf.

Entity Name	Dvine Systems Ga, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396065793 PECOS PAC ID: 3971818196 Enrollment ID: O20150818004056

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 Glendora Dvine 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 Glendora Dvine, LPC 922 Highway 81 E Ste 348, Mcdonough, GA 30252-2978 Ph: (678) 212-5146	Mrs Glendora Dvine, LPC 141 Bridgemill Dr, Hampton, GA 30228-5536 Ph: (782) 125-1466

Reviews and Comments

Counselor in Hampton, GA

Tikita L Ficklin, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 11521 Alicias Ct, Hampton, GA 30228 Phone: 320-302-2897
Mrs. Sheryl Dobson, COUNSELOR, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 11345 Tara Blvd Ste D, Hampton, GA 30228 Phone: 678-829-6346
Yvette Wright Etheridge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 Courts Of Hampton, Hampton, GA 30228 Phone: 678-334-4323
Shannon P Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1358 Buckingham Dr, Hampton, GA 30228 Phone: 678-517-1154
K Symone Fears, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12802 Simmons Rd, Hampton, GA 30228 Phone: 677-837-1308
Brenda Ruth Kemp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 585 Vaughan Dr, Hampton, GA 30228 Phone: 404-396-1745

Mrs Glendora Dvine, LPC - Medicare Counselor in Hampton, GA