Ms Laconyer Davis, MACC, LPC, NCC, CADC in Calumet City, IL

Ms Laconyer Davis, MACC, LPC, NCC, CADC is a medicare enrolled "Counselor - Professional" provider in Calumet City, Illinois. Her current practice location is 1473 Ring Rd, Great Heights Family Medicine, Calumet City, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 885-2195.

Ms Laconyer Davis is licensed to practice in Illinois (license number 178011924) 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 1063956894.

Contact Information

	Ms Laconyer Davis, MACC, LPC, NCC, CADC
	1473 Ring Rd, Great Heights Family Medicine, Calumet City, IL 60409-5459
	(312) 885-2195
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Laconyer Davis
Gender	Female
Speciality	Counselor - Professional
Location	1473 Ring Rd, Calumet City, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063956894
Provider Enumeration Date: 12/13/2016
Last Update Date: 12/13/2016

Medicare PECOS Information:

PECOS PAC ID: 4183064850
Enrollment ID: I20240429000415

Medical Identifiers

Medical identifiers for Ms Laconyer Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063956894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178011924 (Illinois)	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 Laconyer Davis allows following entities to bill medicare on her behalf.

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230117000481

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 Laconyer Davis 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 Laconyer Davis, MACC, LPC, NCC, CADC 1473 Ring Rd, Great Heights Family Medicine, Calumet City, IL 60409-5459 Ph: (312) 885-2195	Ms Laconyer Davis, MACC, LPC, NCC, CADC 1473 Ring Rd, Great Heights Family Medicine, Calumet City, IL 60409-5459 Ph: (312) 885-2195

Reviews and Comments

Counselor in Calumet City, IL

Elaine Smith, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 164th St, Calumet City, IL 60409 Phone: 312-388-1505
Courtney K Berry, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Park Ave Apt 706, Calumet City, IL 60409 Phone: 630-853-3181
Mrs. Sherri Lynne Swansey, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 593 Burnham Avenue, Calumet City, IL 60409 Phone: 708-832-1002 Fax: 708-832-1099
Ms. Capri Adams, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 158th Pl, Calumet City, IL 60409 Phone: 708-297-6602
Hilary R Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 157th St, Calumet City, IL 60409 Phone: 708-692-3194
Gloria Wright, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 61 Dogwood Ct, Calumet City, IL 60409 Phone: 708-849-8289

Ms Laconyer Davis, MACC, LPC, NCC, CADC - Medicare Counselor in Calumet City, IL