Tonya Gulledge Herbold, LPC - Medicare Counselor in Dothan, AL

Tonya Gulledge Herbold, LPC is a medicare enrolled "Counselor - Professional" provider in Dothan, Alabama. Her current practice location is 1672 Columbia Hwy, Dothan, Alabama. You can reach out to her office (for appointments etc.) via phone at (334) 790-7025.

Tonya Gulledge Herbold is licensed to practice in Alabama (license number 3811) 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 1306350343.

Contact Information

Tonya Gulledge Herbold, LPC
1672 Columbia Hwy,
Dothan, AL 36303-5434
(334) 790-7025
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTonya Gulledge Herbold
GenderFemale
SpecialityCounselor - Professional
Location1672 Columbia Hwy, Dothan, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306350343
  • Provider Enumeration Date: 11/29/2017
  • Last Update Date: 11/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315397379
  • Enrollment ID: I20240103001900

Medical Identifiers

Medical identifiers for Tonya Gulledge Herbold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306350343NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 3811 (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. Tonya Gulledge Herbold allows following entities to bill medicare on her behalf.
Entity NameSpectracare Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215990734
PECOS PAC ID: 3779509765
Enrollment ID: O20051019000506

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. Tonya Gulledge Herbold 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 AddressPractice Location Address
Tonya Gulledge Herbold, LPC
Po Box 1245,
Dothan, AL 36302-1245

Ph: (334) 712-2720
Tonya Gulledge Herbold, LPC
1672 Columbia Hwy,
Dothan, AL 36303-5434

Ph: (334) 790-7025

Reviews and Comments


Counselor in Dothan, AL

Mr. Bradford Lee Bullard, LIC PROFESSIONAL COU
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 187 Belmont Drive, Dothan, AL 36305
Phone: 334-671-1280    Fax: 334-671-0475
Mrs. Lori Lynn Chancy, MS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 101 Medical Dr, Dothan, AL 36303
Phone: 334-702-7222    Fax: 334-712-0972
Mary J Strother, L.P.C.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 101 Medical Dr, Dothan, AL 36303
Phone: 334-702-7222    Fax: 334-712-0972
Mrs. Emrist Anne Mustin, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 101 Medical Dr, Dothan, AL 36303
Phone: 334-702-7222    
Donda Goodson, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 105 Preswick Dr, Dothan, AL 36305
Phone: 334-790-8362    
Mrs. Kimberly Andrews Caton, ALC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 172 Belmont Dr, Dothan, AL 36305
Phone: 334-671-1280    Fax: 334-671-0475
Mrs. Terry Denise Bradley, MS, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 2431 W Main St, Suite 603, Dothan, AL 36301
Phone: 334-673-8869    Fax: 334-673-8851

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.