Tracy Ann Carmichael, LPC in Fayetteville, GA

Tracy Ann Carmichael, LPC is a medicare enrolled "Counselor - Professional" provider in Fayetteville, Georgia. Her current practice location is 715 Bradley Dr, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 358-5252.

Tracy Ann Carmichael is licensed to practice in Georgia (license number LPC010748) 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 1669837969.

Contact Information

	Tracy Ann Carmichael, LPC
	715 Bradley Dr, Fayetteville, GA 30214-2030
	(770) 358-5252
	(707) 460-2463

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Ann Carmichael
Gender	Female
Speciality	Counselor - Professional
Location	715 Bradley Dr, 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: 1669837969
Provider Enumeration Date: 12/31/2015
Last Update Date: 06/11/2019

Medicare PECOS Information:

PECOS PAC ID: 9638522436
Enrollment ID: I20240129001606

Medical Identifiers

Medical identifiers for Tracy Ann Carmichael such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669837969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC010748 (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. Tracy Ann Carmichael allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Tracy Ann Carmichael 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
Tracy Ann Carmichael, LPC 715 Bradley Dr, Fayetteville, GA 30214-2030 Ph: (707) 358-5252	Tracy Ann Carmichael, LPC 715 Bradley Dr, Fayetteville, GA 30214-2030 Ph: (770) 358-5252

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

Tracy Ann Carmichael, LPC - Medicare Counselor in Fayetteville, GA