Mrs Mary Blaydes Alexander, LPC in Dallas, GA

Mrs Mary Blaydes Alexander, LPC is a medicare enrolled "Counselor - Professional" provider in Dallas, Georgia. Her current practice location is 200 E Memorial Dr, Suite 6, Dallas, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 505-1431.

Mrs Mary Blaydes Alexander is licensed to practice in Georgia (license number LPC003206) 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 1225162555.

Contact Information

	Mrs Mary Blaydes Alexander, LPC
	200 E Memorial Dr, Suite 6, Dallas, GA 30132-3811
	(770) 505-1431
	(770) 505-1431

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Blaydes Alexander
Gender	Female
Speciality	Counselor - Professional
Location	200 E Memorial Dr, Dallas, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225162555
Provider Enumeration Date: 03/16/2007
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9739539941
Enrollment ID: I20240102000524

Medical Identifiers

Medical identifiers for Mrs Mary Blaydes Alexander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225162555	NPI	-	NPPES
795105989A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC003206 (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 Mary Blaydes Alexander allows following entities to bill medicare on her behalf.

Entity Name	Mary Alexander Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477840536 PECOS PAC ID: 8820448038 Enrollment ID: O20240102000366

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 Mary Blaydes Alexander 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 Mary Blaydes Alexander, LPC 200 E Memorial Dr, Suite 6, Dallas, GA 30132-3811 Ph: (770) 505-1431	Mrs Mary Blaydes Alexander, LPC 200 E Memorial Dr, Suite 6, Dallas, GA 30132-3811 Ph: (770) 505-1431

Reviews and Comments

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Mrs Mary Blaydes Alexander, LPC - Medicare Counselor in Dallas, GA