Glenn A Niles, LPC in Grovetown, GA - Medicare Counselor Provider

Glenn A Niles, LPC is a medicare enrolled "Counselor - Professional" provider in Grovetown, Georgia. His current practice location is 4039 Gateway Blvd, Grovetown, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 498-9570.

Glenn A Niles is licensed to practice in Georgia (license number LPC009918) 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 1477065720.

Contact Information

	Glenn A Niles, LPC
	4039 Gateway Blvd, Grovetown, GA 30813-3389
	(706) 498-9570
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Glenn A Niles
Gender	Male
Speciality	Counselor - Professional
Location	4039 Gateway Blvd, Grovetown, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477065720
Provider Enumeration Date: 10/26/2017
Last Update Date: 04/08/2025

Medicare PECOS Information:

PECOS PAC ID: 0749707362
Enrollment ID: I20250507002365

Medical Identifiers

Medical identifiers for Glenn A Niles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477065720	NPI	-	NPPES
1760596480	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC009918 (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. Glenn A Niles allows following entities to bill medicare on his behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Glenn A Niles 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
Glenn A Niles, LPC 4039 Gateway Blvd, Grovetown, GA 30813-3389 Ph: (706) 498-9570	Glenn A Niles, LPC 4039 Gateway Blvd, Grovetown, GA 30813-3389 Ph: (706) 498-9570

Reviews and Comments

Counselor in Grovetown, GA

Amrinder Kaur, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4009 Corners Way, Grovetown, GA 30813 Phone: 856-904-2289
Connor Barnes Thornton-typhair, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-432-6866
Jillian Kiauna Bursh-puplampu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3065 Lobella Dr, Grovetown, GA 30813 Phone: 225-226-8892
Brandon Christopher Scarboro, LCSW, CMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2117 Sylvan Lake Dr, Grovetown, GA 30813 Phone: 706-466-9474
Shontanae Imani Green, MS, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 247 Sassafras Ln, Grovetown, GA 30813 Phone: 706-631-1882
Alyssa S Lim, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Hazelwood Ct, Grovetown, GA 30813 Phone: 618-713-9433
Kelly Segraves Tyson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3913 Griese Ln, Grovetown, GA 30813 Phone: 706-877-1011

Glenn A Niles, LPC - Medicare Counselor in Grovetown, GA