Corey Potter, PMHNP-BC, LMHC is a medicare enrolled "Counselor - Mental Health" in Gainesville, Florida. Her current practice location is
4300 Sw 13th St, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 374-5600.
Corey Potter is licensed to practice in Florida (license number APRN11020548) 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 1992182414.
Provider's Profile
| Full Name | Corey Potter |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 4300 Sw 13th St, Gainesville, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992182414
- Provider Enumeration Date: 05/05/2015
- Last Update Date: 06/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002290756
- Enrollment ID: I20220830003815
Medical Identifiers
Medical identifiers for Corey Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992182414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN2331123 (Massachusetts) | Secondary |
| 101YM0800X | Counselor - Mental Health | 10241 (Massachusetts) | Secondary |
| 101YM0800X | Counselor - Mental Health | 20428 (Florida) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 9588600 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | APRN11020548 (Florida) | 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. Corey Potter allows following entities to bill medicare on her behalf.
| Entity Name | Meridian Behavioral Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134287154
PECOS PAC ID: 7517977812
Enrollment ID: O20060502000237 |
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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. Corey Potter 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 |
|---|
Corey Potter, PMHNP-BC, LMHC
4300 Sw 13th St,
Gainesville, FL 32608-4006
Ph: (352) 374-5600 | Corey Potter, PMHNP-BC, LMHC
4300 Sw 13th St,
Gainesville, FL 32608-4006
Ph: (352) 374-5600 |
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