Dwight A Porter, LPC in Union City, GA - Medicare Counselor Provider

Dwight A Porter, LPC is a medicare enrolled "Counselor - Professional" provider in Union City, Georgia. His current practice location is 4405 Mall Blvd, Suite 200, Union City, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 969-4309.

Dwight A Porter is licensed to practice in Georgia (license number 006366) 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 1194158220.

Contact Information

	Dwight A Porter, LPC
	4405 Mall Blvd, Suite 200, Union City, GA 30291-2044
	(770) 969-4309
	(770) 969-4170

Map and Direction

Healthcare Provider's Profile

Full Name	Dwight A Porter
Gender	Male
Speciality	Counselor - Professional
Location	4405 Mall Blvd, Union City, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194158220
Provider Enumeration Date: 08/13/2013
Last Update Date: 08/13/2013

Medicare PECOS Information:

PECOS PAC ID: 2163751876
Enrollment ID: I20240228004607

Medical Identifiers

Medical identifiers for Dwight A Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194158220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	006366 (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. Dwight A Porter allows following entities to bill medicare on his behalf.

Entity Name	Chesterfield Family Guidance Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225192909 PECOS PAC ID: 5799762712 Enrollment ID: O20040707000513

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. Dwight A Porter 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
Dwight A Porter, LPC 4405 Mall Blvd, Suite 200, Union City, GA 30291-2044 Ph: (770) 969-4309	Dwight A Porter, LPC 4405 Mall Blvd, Suite 200, Union City, GA 30291-2044 Ph: (770) 969-4309

Reviews and Comments

Counselor in Union City, GA

Courtney Willis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Mumsford Ct, Union City, GA 30291 Phone: 404-642-7565
Naamau Tahiru, Counselor Medicare: Medicare Enrolled Practice Location: 7463 Toccoa Cir, Union City, GA 30291 Phone: 646-249-6070
Sheila Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4405 Mall Blvd, Union City, GA 30291 Phone: 770-892-3200
Dr. Maurita Marice Hodge, ED.D, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4637 Ravenwood Loop, Union City, GA 30291 Phone: 770-306-6127 Fax: 770-995-1959
Karan Lawyer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4405 Mall Blvd Ste 310, Union City, GA 30291 Phone: 770-892-3200
Mr. Frederick A Saddler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4500 Shannon Blvd, Union City, GA 30291 Phone: 803-537-0795

Dwight A Porter, LPC - Medicare Counselor in Union City, GA