Mrs Grace Funmilola David, LPC in Desoto, TX - Medicare Counselor Provider

Mrs Grace Funmilola David, LPC is a medicare enrolled "Counselor - Mental Health" provider in Desoto, Texas. Her current practice location is 1636 N Hampton Rd Ste 101, Desoto, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 920-6781.

Mrs Grace Funmilola David is licensed to practice in Texas (license number 75141) 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 1295240232.

Contact Information

	Mrs Grace Funmilola David, LPC
	1636 N Hampton Rd Ste 101, Desoto, TX 75115-8600
	(972) 920-6781
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Grace Funmilola David
Gender	Female
Speciality	Counselor - Mental Health
Location	1636 N Hampton Rd Ste 101, Desoto, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295240232
Provider Enumeration Date: 12/13/2017
Last Update Date: 12/13/2017

Medicare PECOS Information:

PECOS PAC ID: 6305389693
Enrollment ID: I20240614001498

Medical Identifiers

Medical identifiers for Mrs Grace Funmilola David such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295240232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	75141 (Texas)	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 Grace Funmilola David allows following entities to bill medicare on her behalf.

Entity Name	Lolabode Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306334461 PECOS PAC ID: 0143763433 Enrollment ID: O20240614001297

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 Grace Funmilola David 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 Grace Funmilola David, LPC 1524 Twin Pines Dr, Desoto, TX 75115-7831 Ph: (210) 995-4310	Mrs Grace Funmilola David, LPC 1636 N Hampton Rd Ste 101, Desoto, TX 75115-8600 Ph: (972) 920-6781

Reviews and Comments

Counselor in Desoto, TX

Julia Floyd Jones, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 712 N Hampton Rd, Suite - 185, Desoto, TX 75115 Phone: 972-223-8900 Fax: 972-223-8972
Mrs. Michelle Bailey Muckelroy, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1636 N Hampton Rd, Desoto, TX 75115 Phone: 281-773-2897
Mrs. Lisa E Golightly, L P C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 Tanglerose Ct, Desoto, TX 75115 Phone: 972-365-5614
Felicia Joy Golston, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 1229 E Pleasant Run Rd Ste 205, Desoto, TX 75115 Phone: 469-518-6034
Ms. Herlonda Dotson, LPC, CCM Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Candelila Drive, Desoto, TX 75115 Phone: 972-322-1604
Ms. Rhea Hill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1636 N Hampton Rd, Suite 101, Desoto, TX 75115 Phone: 469-844-1737
Dr. Gregory Howard Kimble, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Dalton Road Suite C, Desoto, TX 75115 Phone: 214-415-8268

Mrs Grace Funmilola David, LPC - Medicare Counselor in Desoto, TX