Ms Kimberly Lisle Martin, LPC in Jasper, GA - Medicare Counselor Provider

Ms Kimberly Lisle Martin, LPC is a medicare enrolled "Counselor - Professional" provider in Jasper, Georgia. Her current practice location is 323 Roland Rd, Jasper, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 253-1112.

Ms Kimberly Lisle Martin is licensed to practice in Georgia (license number LPC003867) 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 1437419702.

Contact Information

	Ms Kimberly Lisle Martin, LPC
	323 Roland Rd, Jasper, GA 30143-5336
	(706) 253-1112
	(706) 253-1120

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly Lisle Martin
Gender	Female
Speciality	Counselor - Professional
Location	323 Roland Rd, Jasper, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437419702
Provider Enumeration Date: 05/21/2012
Last Update Date: 05/21/2012

Medicare PECOS Information:

PECOS PAC ID: 1951746361
Enrollment ID: I20240226001123

Medical Identifiers

Medical identifiers for Ms Kimberly Lisle Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437419702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC003867 (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. Ms Kimberly Lisle Martin allows following entities to bill medicare on her behalf.

Entity Name	Highland Rivers Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204

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 Kimberly Lisle Martin 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
Ms Kimberly Lisle Martin, LPC 323 Roland Rd, Jasper, GA 30143-5336 Ph: () -	Ms Kimberly Lisle Martin, LPC 323 Roland Rd, Jasper, GA 30143-5336 Ph: (706) 253-1112

Reviews and Comments

Counselor in Jasper, GA

Dr. Boone Leonard Benton, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 376 Tally Mountain Rd N, Jasper, GA 30143 Phone: 770-846-8161
Stacy Ann Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 630 E Church St, Jasper, GA 30143 Phone: 678-779-4223
Melanie Ann Dallas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Pine Crest Rd, Jasper, GA 30143 Phone: 404-808-7740 Fax: 706-692-2091
Ms. Jenny Mari Wood, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 163 Apple Ln, Jasper, GA 30143 Phone: 770-833-1055
Cam Dowling Parks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 Roland Rd, Jasper, GA 30143 Phone: 706-253-1169
Michelle Grunkemeyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Refuge Rd, Jasper, GA 30143 Phone: 706-692-7209
Pamela Watkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 Roland Rd, Jasper, GA 30143 Phone: 706-253-1112

Ms Kimberly Lisle Martin, LPC - Medicare Counselor in Jasper, GA