Fredric Darnell Blocker, LPC in Fayetteville, GA

Fredric Darnell Blocker, LPC is a medicare enrolled "Counselor - Professional" provider in Fayetteville, Georgia. His current practice location is 110 Habersham Dr, Ste 116, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 946-2312.

Fredric Darnell Blocker is licensed to practice in Georgia (license number LPC007643) 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 1639570039.

Contact Information

	Fredric Darnell Blocker, LPC
	110 Habersham Dr, Ste 116, Fayetteville, GA 30214-1381
	(770) 946-2312
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fredric Darnell Blocker
Gender	Male
Speciality	Counselor - Professional
Location	110 Habersham 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: 1639570039
Provider Enumeration Date: 09/04/2014
Last Update Date: 09/04/2014

Medicare PECOS Information:

PECOS PAC ID: 3173969417
Enrollment ID: I20240309000234

Medical Identifiers

Medical identifiers for Fredric Darnell Blocker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639570039	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC007643 (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. Fredric Darnell Blocker allows following entities to bill medicare on his behalf.

Entity Name	Heavenly Therapeutic Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184025587 PECOS PAC ID: 1456797794 Enrollment ID: O20240309000160

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. Fredric Darnell Blocker 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
Fredric Darnell Blocker, LPC 110 Habersham Dr, Ste 116, Fayetteville, GA 30214-1381 Ph: () -	Fredric Darnell Blocker, LPC 110 Habersham Dr, Ste 116, Fayetteville, GA 30214-1381 Ph: (770) 946-2312

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: Not Enrolled in Medicare 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

Fredric Darnell Blocker, LPC - Medicare Counselor in Fayetteville, GA