Walter Brooks, PHD, LPC is a medicare enrolled "Counselor - Professional" provider in Atlanta, Georgia. His current practice location is
159 Forsyth St Sw, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 523-4599.
Walter Brooks is licensed to practice in Georgia (license number LPC003956) 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 1669745675.
Healthcare Provider's Profile
Full Name | Walter Brooks |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 159 Forsyth St Sw, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669745675
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 05/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648445734
- Enrollment ID: I20240119000365
Medical Identifiers
Medical identifiers for Walter Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669745675 | NPI | - | NPPES |
LPC003956 | Other | GA | LICENSE PROFESSIONAL COUNSELING |
033128490 | Other | GA | DRIVERS LICENSE |
1091587 | Other | GA | PHD HUMAN SERVICES PROFESSIONAL COUNSELING SPECIALIZATION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 1091587 (Georgia) | Secondary |
103TH0100X | Psychologist - Health Service | LPC003956 (Georgia) | Secondary |
101YP2500X | Counselor - Professional | LPC003956 (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. Walter Brooks allows following entities to bill medicare on his behalf.
Entity Name | Wholeness Within Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255042982 PECOS PAC ID: 6103272430 Enrollment ID: O20231024000049 |
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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. Walter Brooks 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 |
Walter Brooks, PHD, LPC Po Box 55469, Atlanta, GA 30308-5469 Ph: (404) 523-4599 | Walter Brooks, PHD, LPC 159 Forsyth St Sw, Atlanta, GA 30303-3634 Ph: (404) 523-4599 |
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