Dezirae Hatchell, LPC in Dacula, GA - Medicare Counselor Provider

Dezirae Hatchell, LPC is a medicare enrolled "Counselor - Mental Health" provider in Dacula, Georgia. Her current practice location is 256 Mcmillan Rd., Dacula, Georgia. You can reach out to her office (for appointments etc.) via phone at (470) 285-5065.

Dezirae Hatchell is licensed to practice in Georgia (license number LPC012711) 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 1578219077.

Contact Information

	Dezirae Hatchell, LPC
	256 Mcmillan Rd., Dacula, GA 30019
	(470) 285-5065
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dezirae Hatchell
Gender	Female
Speciality	Counselor - Mental Health
Location	256 Mcmillan Rd., Dacula, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578219077
Provider Enumeration Date: 02/23/2022
Last Update Date: 03/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1254858764
Enrollment ID: I20250508000821

Medical Identifiers

Medical identifiers for Dezirae Hatchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578219077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC012711 (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. Dezirae Hatchell allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20230619001228

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. Dezirae Hatchell 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
Dezirae Hatchell, LPC 3300 Hamilton Mill, Rd Ste 102 #495, Buford, GA 30519 Ph: (470) 285-5065	Dezirae Hatchell, LPC 256 Mcmillan Rd., Dacula, GA 30019 Ph: (470) 285-5065

Reviews and Comments

Counselor in Dacula, GA

Daniel Mariney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2078 Teron Trce Ste 150, Dacula, GA 30019 Phone: 352-284-4379
Mrs. Dustin Leigh Shandy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3611 Braselton Hwy Ste 201, Dacula, GA 30019 Phone: 678-280-1390
Mrs. Meagan Ross, Counselor Medicare: Medicare Enrolled Practice Location: 1060 River Valley Dr, Dacula, GA 30019 Phone: 567-277-5638
Portia Grimes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2995 Old Peachtree Rd Apt 430, Dacula, GA 30019 Phone: 470-893-3593 Fax: 678-691-4366
Kimberly Morris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2592 Freemans Walk Path, Dacula, GA 30019 Phone: 310-945-7460
Mrs. Daja Shanay Robinson, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1039 Victoria Walk Ln, Dacula, GA 30019 Phone: 678-926-9848
Stephanie Sheets, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3611 Braselton Hwy Ste 102, Dacula, GA 30019 Phone: 678-280-1390

Dezirae Hatchell, LPC - Medicare Counselor in Dacula, GA