Mrs Edna Faye Booker, LPC, LISAC in Barstow, CA

Mrs Edna Faye Booker, LPC, LISAC is a medicare enrolled "Counselor - Professional" provider in Barstow, California. Her current practice location is 222 E Main St Ste 117, Barstow, California. You can reach out to her office (for appointments etc.) via phone at (760) 255-1497.

Mrs Edna Faye Booker is licensed to practice in Arizona (license number 17302) 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 1801193834.

Contact Information

	Mrs Edna Faye Booker, LPC, LISAC
	222 E Main St Ste 117, Barstow, CA 92311-2361
	(760) 255-1497
	(760) 256-2920

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Edna Faye Booker
Gender	Female
Speciality	Counselor - Professional
Location	222 E Main St Ste 117, Barstow, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801193834
Provider Enumeration Date: 02/28/2011
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 5193267201
Enrollment ID: I20240604003911

Medical Identifiers

Medical identifiers for Mrs Edna Faye Booker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801193834	NPI	-	NPPES
1801193834	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	5034 (Louisiana)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	15179 (Arizona)	Secondary
101YM0800X	Counselor - Mental Health	4179 (Louisiana)	Secondary
101YP2500X	Counselor - Professional	17302 (Arizona)	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 Edna Faye Booker allows following entities to bill medicare on her behalf.

Entity Name	Terros, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841498060 PECOS PAC ID: 8224077045 Enrollment ID: O20050429000811

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 Edna Faye Booker 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 Edna Faye Booker, LPC, LISAC 4885 Buck Springs Rd, Pinetop, AZ 85935-8139 Ph: (928) 266-8600	Mrs Edna Faye Booker, LPC, LISAC 222 E Main St Ste 117, Barstow, CA 92311-2361 Ph: (760) 255-1497

Reviews and Comments

Counselor in Barstow, CA

Mrs. Brenda K. Lee Simon, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1841 E Main St, Barstow, CA 92311 Phone: 760-255-5700
Rhonda Elise Leath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1840 E Main St, Barstow, CA 92311 Phone: 760-255-5700
Lisa Kay Herrmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St. Suite 117, Barstow, CA 92311 Phone: 760-255-1496 Fax: 760-255-2542
Rebekah Cox, MFTI, PCCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St Ste 117, Barstow, CA 92311 Phone: 760-255-1496 Fax: 760-255-2542
Gloriann P Connor, M.A. LMFT Counselor Medicare: Medicare Enrolled Practice Location: 400 S 2nd Ave, Suite 111, Barstow, CA 92311 Phone: 760-256-7279 Fax: 760-256-7280
Ms. Rhonda Sue Lystra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 E Main St, Barstow, CA 92311 Phone: 760-255-1496
Jazzmine Harris-clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1841 E Main St, Barstow, CA 92311 Phone: 760-255-5700

Mrs Edna Faye Booker, LPC, LISAC - Medicare Counselor in Barstow, CA