Connie J Young-gibraltarik, MED, MA, LPC in Stockbridge, GA

Connie J Young-gibraltarik, MED, MA, LPC is a medicare enrolled "Counselor - Professional" provider in Stockbridge, Georgia. Her current practice location is 950 Eagles Landing Pkwy, Suite 665, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (510) 914-7540.

Connie J Young-gibraltarik is licensed to practice in Georgia (license number LPC009420) 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 1083153142.

Contact Information

	Connie J Young-gibraltarik, MED, MA, LPC
	950 Eagles Landing Pkwy, Suite 665, Stockbridge, GA 30281-7343
	(510) 914-7540
	(770) 629-2139

Map and Direction

Healthcare Provider's Profile

Full Name	Connie J Young-gibraltarik
Gender	Female
Speciality	Counselor - Professional
Location	950 Eagles Landing Pkwy, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083153142
Provider Enumeration Date: 02/21/2017
Last Update Date: 04/23/2017

Medicare PECOS Information:

PECOS PAC ID: 8527591262
Enrollment ID: I20241101002105

Medical Identifiers

Medical identifiers for Connie J Young-gibraltarik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083153142	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC009420 (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. Connie J Young-gibraltarik allows following entities to bill medicare on her behalf.

Entity Name	Iora Senior Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619376456 PECOS PAC ID: 0143520189 Enrollment ID: O20151124001666

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. Connie J Young-gibraltarik 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
Connie J Young-gibraltarik, MED, MA, LPC 950 Eagles Landing Pkwy, Suite 665, Stockbridge, GA 30281-7343 Ph: (510) 914-7540	Connie J Young-gibraltarik, MED, MA, LPC 950 Eagles Landing Pkwy, Suite 665, Stockbridge, GA 30281-7343 Ph: (510) 914-7540

Reviews and Comments

Counselor in Stockbridge, GA

Dr. Fredrick Antonia Thrasher, PHD, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Eagle Spring Dr Ste D, Stockbridge, GA 30281 Phone: 678-565-1400 Fax: 866-945-9685
Mireille Tercier Mackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Country Club Dr, Stockbridge, GA 30281 Phone: 678-782-7272
Shamia Lanae Turlington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1702 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 770-558-7956
Miss Marta Greer, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3887 Walt Stephens Rd, Stockbridge, GA 30281 Phone: 770-371-6191
Onteria Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Country Club Dr, Stockbridge, GA 30281 Phone: 678-782-7272
Ms. Keisha Nichole Hood, MAMFT, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 385 Country Club Dr, Suite E, Stockbridge, GA 30281 Phone: 678-671-9908
Grequenceo Coger, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1817 Saint Ives Xing, Stockbridge, GA 30281 Phone: 678-328-9571

Connie J Young-gibraltarik, MED, MA, LPC - Medicare Counselor in Stockbridge, GA