Grace M Blackwood, LPC in Fairburn, GA - Medicare Counselor Provider

Grace M Blackwood, LPC is a medicare enrolled "Counselor - Mental Health" provider in Fairburn, Georgia. Her current practice location is 570 Windsor Way, Fairburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 365-3140.

Grace M Blackwood is licensed to practice in Georgia (license number LPC004495) 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 1104071133.

Contact Information

	Grace M Blackwood, LPC
	570 Windsor Way, Fairburn, GA 30213-6446
	(770) 365-3140
	(770) 703-7915

Map and Direction

Healthcare Provider's Profile

Full Name	Grace M Blackwood
Gender	Female
Speciality	Counselor - Mental Health
Location	570 Windsor Way, Fairburn, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104071133
Provider Enumeration Date: 11/18/2008
Last Update Date: 01/26/2016

Medicare PECOS Information:

PECOS PAC ID: 9830514678
Enrollment ID: I20200810003592

Medical Identifiers

Medical identifiers for Grace M Blackwood such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104071133	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC004495 (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. Grace M Blackwood allows following entities to bill medicare on her behalf.

Entity Name	Grady Memorial Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311

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. Grace M Blackwood 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
Grace M Blackwood, LPC 570 Windsor Way, Fairburn, GA 30213-6446 Ph: (770) 365-3140	Grace M Blackwood, LPC 570 Windsor Way, Fairburn, GA 30213-6446 Ph: (770) 365-3140

Reviews and Comments

Counselor in Fairburn, GA

Shonda P Dallas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Breeze Mdw, Fairburn, GA 30213 Phone: 770-597-9746 Fax: 678-834-5154
Mykieshia Ayaniah Serria Seigler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6173 Redtop Loop, Fairburn, GA 30213 Phone: 678-363-3562
Shemaria Garcia, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6025 Capitol Knl, Fairburn, GA 30213 Phone: 404-919-8160
Dr. Keziah Jones, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Duke Ct, Fairburn, GA 30213 Phone: 813-205-8901
Ms. Lakia Chappelle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Meadow Glen Pkwy, Fairburn, GA 30213 Phone: 803-521-3327
Colena Brown, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7556 Rutgers Cir, Fairburn, GA 30213 Phone: 702-427-9368

Grace M Blackwood, LPC - Medicare Counselor in Fairburn, GA