Roger Robert Gillis, LPC in Waycross, GA - Medicare Counselor Provider

Roger Robert Gillis, LPC is a medicare enrolled "Counselor - Mental Health" provider in Waycross, Georgia. His current practice location is 1007 Mary St, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 449-7100.

Roger Robert Gillis is licensed to practice in * (Not Available) (license number ) 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 1629800255.

Contact Information

	Roger Robert Gillis, LPC
	1007 Mary St, Waycross, GA 31503-3823
	(912) 449-7100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Roger Robert Gillis
Gender	Male
Speciality	Counselor - Mental Health
Location	1007 Mary St, Waycross, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629800255
Provider Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 8527591684
Enrollment ID: I20241028001996

Medical Identifiers

Medical identifiers for Roger Robert Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629800255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Roger Robert Gillis allows following entities to bill medicare on his behalf.

Entity Name	Unison Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528104866 PECOS PAC ID: 7517852247 Enrollment ID: O20040220000112

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. Roger Robert Gillis 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
Roger Robert Gillis, LPC 1007 Mary St, Waycross, GA 31503-3823 Ph: () -	Roger Robert Gillis, LPC 1007 Mary St, Waycross, GA 31503-3823 Ph: (912) 449-7100

Reviews and Comments

Counselor in Waycross, GA

Misty Burchette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100
Mrs. Linda Howard Cooper, BA APPLIED BEHAVIORA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1397 Smith Rd, Waycross, GA 31503 Phone: 912-550-1199
Stacie Norman, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Mary St, Waycross, GA 31503 Phone: 912-449-7150 Fax: 912-449-7060
Charles E Pritchett, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100
Latoya Lasha Woodard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1007 Mary Street, Waycross, GA 31503 Phone: 912-449-7111
Judith L Hunt, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Boulevard Sq, Suite A, Waycross, GA 31501 Phone: 912-283-4026 Fax: 912-283-4028
Dr. Janie B Oliver, PHD Counselor Medicare: Medicare Enrolled Practice Location: 802 Eads St, Waycross, GA 31501 Phone: 912-281-6126

Roger Robert Gillis, LPC - Medicare Counselor in Waycross, GA