Shereese Nicole Pearsall, in Fayetteville, GA

Shereese Nicole Pearsall, is a medicare enrolled "Counselor - Professional" provider in Fayetteville, Georgia. Her current practice location is 170 Bastille Way, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 255-9941.

Shereese Nicole Pearsall is licensed to practice in Georgia (license number APC002994) 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 1528307394.

Contact Information

	Shereese Nicole Pearsall,
	170 Bastille Way, Fayetteville, GA 30214-7652
	(770) 255-9941
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shereese Nicole Pearsall
Gender	Female
Speciality	Counselor - Professional
Location	170 Bastille Way, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528307394
Provider Enumeration Date: 02/13/2013
Last Update Date: 02/13/2013

Medicare PECOS Information:

PECOS PAC ID: 3870933880
Enrollment ID: I20240424002093

Medical Identifiers

Medical identifiers for Shereese Nicole Pearsall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528307394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	APC002994 (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. Shereese Nicole Pearsall allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Shereese Nicole Pearsall 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
Shereese Nicole Pearsall, 2175 Lake Royale Dr, Riverdale, GA 30296-1899 Ph: (770) 255-9941	Shereese Nicole Pearsall, 170 Bastille Way, Fayetteville, GA 30214-7652 Ph: (770) 255-9941

Reviews and Comments

Counselor in Fayetteville, GA

Melissa Stone Martinez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Bradford Sq Ste D, Fayetteville, GA 30215 Phone: 678-964-6023
Keisha L White, ED.S, NCC,LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lanier Ave W Ste 103b, Fayetteville, GA 30214 Phone: 404-800-4002
Albert B Fisher, LPC Counselor Medicare: Medicare Enrolled Practice Location: 101 Rainbow Way, Fayetteville, GA 30214 Phone: 678-489-6017
Ms. Marilyn Catherine Roberts, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214 Phone: 678-817-6600 Fax: 678-817-6333
Vanessa J Hobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Wesley Pl, Fayetteville, GA 30214 Phone: 404-387-0564
Ms. Anne Marie Cook, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779
Tyisha Salter Scott, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 Phone: 770-371-5057 Fax: 404-537-1045

Shereese Nicole Pearsall, - Medicare Counselor in Fayetteville, GA