Eboni Coombs, in Orange Park, FL - Medicare Counselor Provider

Eboni Coombs, is a medicare enrolled "Counselor" provider in Orange Park, Florida. Her current practice location is 141 Old Orange Park Rd Apt 152, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (413) 657-4790.

Eboni Coombs is licensed to practice in * (Not Available) (license number ) 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 1295101368.

Contact Information

	Eboni Coombs,
	141 Old Orange Park Rd Apt 152, Orange Park, FL 32073-3029
	(413) 657-4790
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eboni Coombs
Gender	Female
Speciality	Counselor
Location	141 Old Orange Park Rd Apt 152, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295101368
Provider Enumeration Date: 08/12/2015
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5294196143
Enrollment ID: I20230725003511

Medical Identifiers

Medical identifiers for Eboni Coombs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295101368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Eboni Coombs 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: O20210414000053

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. Eboni Coombs 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
Eboni Coombs, 141 Old Orange Park Rd Apt 152, Orange Park, FL 32073-3029 Ph: (413) 657-4790	Eboni Coombs, 141 Old Orange Park Rd Apt 152, Orange Park, FL 32073-3029 Ph: (413) 657-4790

Reviews and Comments

Counselor in Orange Park, FL

Nicole Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2864 Moody Ave, Orange Park, FL 32073 Phone: 352-478-8273 Fax: 352-478-8088
Annie Sea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113
Savannah Elizabeth Lockwood, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 College Dr, Orange Park, FL 32065 Phone: 904-602-9802 Fax: 904-621-5113
Mrs. Sandra Ann Currie, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1743 County Road 220, Orange Park, FL 32003 Phone: 904-269-6907 Fax: 904-215-2036
Alexandra Richetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2140 Kingsley Ave, Orange Park, FL 32073 Phone: 904-375-8388
Ms. Ursula Stein, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2105 Park Ave, Suite 11, Orange Park, FL 32073 Phone: 904-215-5331 Fax: 904-215-5331
Kristyn Bradley, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1567 Kingsley Ave, Orange Park, FL 32073 Phone: 904-602-9740 Fax: 904-637-4724

Eboni Coombs, - Medicare Counselor in Orange Park, FL