Bethany Rose Ann Petronella, LPC in Sandy Springs, GA

Bethany Rose Ann Petronella, LPC is a medicare enrolled "Counselor - Professional" provider in Sandy Springs, Georgia. Her current practice location is 1303 Hightower Trl, 230, Sandy Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 395-7922.

Bethany Rose Ann Petronella is licensed to practice in Georgia (license number LPC009119) 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 1003354705.

Contact Information

	Bethany Rose Ann Petronella, LPC
	1303 Hightower Trl, 230, Sandy Springs, GA 30350-2962
	(678) 395-7922
	(678) 954-6589

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany Rose Ann Petronella
Gender	Female
Speciality	Counselor - Professional
Location	1303 Hightower Trl, Sandy Springs, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003354705
Provider Enumeration Date: 02/02/2017
Last Update Date: 02/02/2017

Medicare PECOS Information:

PECOS PAC ID: 2961920541
Enrollment ID: I20250516003093

Medical Identifiers

Medical identifiers for Bethany Rose Ann Petronella such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003354705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC009119 (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. Bethany Rose Ann Petronella allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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. Bethany Rose Ann Petronella 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
Bethany Rose Ann Petronella, LPC 1303 Hightower Trl, 230, Sandy Springs, GA 30350-2962 Ph: (678) 395-7922	Bethany Rose Ann Petronella, LPC 1303 Hightower Trl, 230, Sandy Springs, GA 30350-2962 Ph: (678) 395-7922

Reviews and Comments

Counselor in Sandy Springs, GA

Fela T Holt, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Carpenter Dr Ste 400, Sandy Springs, GA 30328 Phone: 678-460-0345 Fax: 678-460-0350
Rachel L Terrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7500 Roswell Rd, Unit 67, Sandy Springs, GA 30350 Phone: 770-396-3142
Iolanda Da Luz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Carpenter Dr, Suite 400, Sandy Springs, GA 30328 Phone: 678-460-0345 Fax: 678-460-0350
Peggy Griffith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5885 Glenridge Dr, Suite 130, Sandy Springs, GA 30328 Phone: 404-550-7540
Melissa Bradford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8800 Roswell Rd Ste A135, Sandy Springs, GA 30350 Phone: 404-737-2670
Mishele Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5555 Glenridge Connector Ste 200, Sandy Springs, GA 30342 Phone: 801-859-8387 Fax: 404-459-6001

Bethany Rose Ann Petronella, LPC - Medicare Counselor in Sandy Springs, GA