Peyton Michael Lassiter, LPC in Petersburg, VA

Peyton Michael Lassiter, LPC is a medicare enrolled "Counselor - Professional" provider in Petersburg, Virginia. His current practice location is 200 Medical Park Blvd, Petersburg, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 765-6823.

Peyton Michael Lassiter is licensed to practice in Virginia (license number 0701011996) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306626452.

Contact Information

	Peyton Michael Lassiter, LPC
	200 Medical Park Blvd, Petersburg, VA 23805-9274
	(804) 765-6823
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peyton Michael Lassiter
Gender	Male
Speciality	Counselor - Professional
Location	200 Medical Park Blvd, Petersburg, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306626452
Provider Enumeration Date: 10/04/2023
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5294175477
Enrollment ID: I20240506000417

Medical Identifiers

Medical identifiers for Peyton Michael Lassiter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306626452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701011996 (Virginia)	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. Peyton Michael Lassiter allows following entities to bill medicare on his behalf.

Entity Name	Mcv Associated Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559

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. Peyton Michael Lassiter 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
Peyton Michael Lassiter, LPC 1906 Titanium Ave Apt 302, Midlothian, VA 23114-6570 Ph: (804) 299-1674	Peyton Michael Lassiter, LPC 200 Medical Park Blvd, Petersburg, VA 23805-9274 Ph: (804) 765-6823

Reviews and Comments

Counselor in Petersburg, VA

Charita Threatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Holly Hill Dive, Petersburg, VA 23805 Phone: 804-733-8847
Titoni Levon Crenshaw, QMHP, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2825 S Crater Rd, Petersburg, VA 23805 Phone: 804-712-3546
Alexandrea J Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 Fax: 804-518-1341
Ebony Glynn Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874
Ashely Ryan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 20 W Bank St, Suite 5, Petersburg, VA 23803 Phone: 804-863-1689
Mr. Ricky Terrell Norwood Jr., M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Harrison Creek Blvd Apt 6201, Petersburg, VA 23803 Phone: 804-861-4884 Fax: 804-862-7188
Michael Anthony Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 N Sycamore St, Petersburg, VA 23803 Phone: 804-919-1199

Peyton Michael Lassiter, LPC - Medicare Counselor in Petersburg, VA