Ms Annette Jackson Benneche, LPC, MS, MED is a
Counselor - Professional based in Greensboro, Georgia. Ms Annette Jackson Benneche is licensed to practice in Georgia (license number 006255) and her current practice location is
110 N Main St, Greensboro, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 453-7400.
NPI number for Ms Annette Jackson Benneche is 1831485523 and her current mailing address is 110 North Main Street, Dba: Serve, Llc, Greensboro, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831485523.
Healthcare Provider's Profile
| Full Name | Ms Annette Jackson Benneche |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 110 N Main St, Greensboro, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831485523
- Provider Enumeration Date: 06/22/2011
- Last Update Date: 10/04/2016
Medical Identifiers
Medical identifiers for Ms Annette Jackson Benneche such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831485523 | NPI | - | NPPES |
| 12404855 | Other | GA | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 006255 (Georgia) | Primary |
| 171M00000X | Case Manager/care Coordinator | 006255 (Georgia) | Secondary |
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. Ms Annette Jackson Benneche is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Annette Jackson Benneche, LPC, MS, MED
110 North Main Street, Dba: Serve, Llc,
Greensboro, GA 30642-3203
Ph: (706) 453-7400 | Ms Annette Jackson Benneche, LPC, MS, MED
110 N Main St,
Greensboro, GA 30642-1108
Ph: (706) 453-7400 |
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