Dr Terry Samuels, PHD, MS, LPC in Jonesboro, GA - Medicare Psychologist Provider

Dr Terry Samuels, PHD, MS, LPC is a medicare enrolled "Psychologist - Clinical" provider in Jonesboro, Georgia. His current practice location is 224 Arrowhead Blvd Ste 101, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 893-8044.

Dr Terry Samuels is licensed to practice in Georgia (license number LPC011391) 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 1649720913.

Contact Information

	Dr Terry Samuels, PHD, MS, LPC
	224 Arrowhead Blvd Ste 101, Jonesboro, GA 30236-1113
	(770) 893-8044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Terry Samuels
Gender	Male
Speciality	Psychologist - Clinical
Location	224 Arrowhead Blvd Ste 101, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649720913
Provider Enumeration Date: 10/10/2016
Last Update Date: 02/24/2024

Medicare PECOS Information:

PECOS PAC ID: 7315472081
Enrollment ID: I20241119002205

Medical Identifiers

Medical identifiers for Dr Terry Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649720913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LPC011391 (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. Dr Terry Samuels allows following entities to bill medicare on his behalf.

Entity Name	Samuels Holistic Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316779564 PECOS PAC ID: 5698200368 Enrollment ID: O20241119002008

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. Dr Terry Samuels 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
Dr Terry Samuels, PHD, MS, LPC 224 Arrowhead Blvd Ste 101, Jonesboro, GA 30236-1113 Ph: (770) 893-8044	Dr Terry Samuels, PHD, MS, LPC 224 Arrowhead Blvd Ste 101, Jonesboro, GA 30236-1113 Ph: (770) 893-8044

Reviews and Comments

Psychologist in Jonesboro, GA

Hannah Yael Paull, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-375-3328
Dr. Shameka Rena Pointer, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 149 S Mcdonough St Ste 200, Jonesboro, GA 30236 Phone: 770-905-2517
Dr. Julia Olivia Land, PSYD, CRC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 404-638-5293
Russell Farr Shearer Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3632
Ms. Rochelle C Bell, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 Chestnut St, Jonesboro, GA 30236 Phone: 770-891-2270
Anthony Patton Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 62 Darwin Dr, Jonesboro, GA 30238 Phone: 404-423-3096
Dr. Abby M Myers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3668

Dr Terry Samuels, PHD, MS, LPC - Medicare Psychologist in Jonesboro, GA