Ida Mae Boatman-goussios, LPC - Medicare Counselor in Jefferson City, TN

  1. Home
  2. Counselors
  3. TN
  4. Jefferson City
Ida Mae Boatman-goussios, LPC is a medicare enrolled "Counselor - Professional" provider in Jefferson City, Tennessee. Her current practice location is 1413 Russell Ave, Jefferson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 471-5525.

Ida Mae Boatman-goussios is licensed to practice in Tennessee (license number 2267) 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 1346405958.

Contact Information

Ida Mae Boatman-goussios, LPC
1413 Russell Ave,
Jefferson City, TN 37760-2562
(865) 471-5525
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameIda Mae Boatman-goussios
GenderFemale
SpecialityCounselor - Professional
Location1413 Russell Ave, Jefferson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346405958
  • Provider Enumeration Date: 07/23/2008
  • Last Update Date: 01/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567991284
  • Enrollment ID: I20250124003085

Medical Identifiers

Medical identifiers for Ida Mae Boatman-goussios such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346405958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional LPC013160 (Georgia)Secondary
101YP2500XCounselor - Professional 2267 (Tennessee)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. Ida Mae Boatman-goussios allows following entities to bill medicare on her behalf.
Entity NameRural Medical Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962443697
PECOS PAC ID: 1456384080
Enrollment ID: O20050914001081

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. Ida Mae Boatman-goussios 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 AddressPractice Location Address
Ida Mae Boatman-goussios, LPC
Po Box 577,
Newport, TN 37822-0577

Ph: (423) 613-3300		Ida Mae Boatman-goussios, LPC
1413 Russell Ave,
Jefferson City, TN 37760-2562

Ph: (865) 471-5525

Reviews and Comments


Counselor in Jefferson City, TN

Mr. Tanner Colin Yankey, LPC-MHSP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1526 Meadow Spring Dr, Jefferson City, TN 37760
Phone: 865-262-9098    
Meghan Lee Griffin,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Meadow Spring Dr, Jefferson City, TN 37760
Phone: 865-776-6761    
Dr. Mark Allan Heinrich, PH.D.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 539 Cliff Lane, Jefferson City, TN 37760
Phone: 865-475-9176    
Morgan Ella Daniels,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1515 Meadow Spring Dr, Jefferson City, TN 37760
Phone: 865-776-6761    
Dr. William Lafayette Blevins, PHD
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1646 Russell Ave, Baker 200, Jefferson City, TN 37760
Phone: 865-471-3274    
Erica Denise Powell,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1526 Meadow Spring Dr, Jefferson City, TN 37760
Phone: 865-262-9098    Fax: 865-262-9103

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.