Ms Susan Gerda Borglum, LPC in Decatur, AL - Medicare Counselor Provider

Ms Susan Gerda Borglum, LPC is a medicare enrolled "Counselor - Mental Health" provider in Decatur, Alabama. Her current practice location is 16 Moulton St E, Decatur, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 822-2375.

Ms Susan Gerda Borglum is licensed to practice in Alabama (license number 2820) 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 1952830176.

Contact Information

	Ms Susan Gerda Borglum, LPC
	16 Moulton St E, Decatur, AL 35601-2310
	(256) 822-2375
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Susan Gerda Borglum
Gender	Female
Speciality	Counselor - Mental Health
Location	16 Moulton St E, Decatur, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952830176
Provider Enumeration Date: 06/09/2017
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 6901255181
Enrollment ID: I20231213001966

Medical Identifiers

Medical identifiers for Ms Susan Gerda Borglum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952830176	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2820 (Alabama)	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 Susan Gerda Borglum allows following entities to bill medicare on her behalf.

Entity Name	Covenant Counseling & Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295111557 PECOS PAC ID: 2769789551 Enrollment ID: O20160322001395

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 Susan Gerda Borglum 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 Susan Gerda Borglum, LPC 16 Moulton St E, Decatur, AL 35601-2310 Ph: (256) 822-2375	Ms Susan Gerda Borglum, LPC 16 Moulton St E, Decatur, AL 35601-2310 Ph: (256) 822-2375

Reviews and Comments

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Ms Susan Gerda Borglum, LPC - Medicare Counselor in Decatur, AL