Ismail Raheem, in Dallas, GA - Medicare Counselor Provider

Ismail Raheem, is a medicare enrolled "Counselor - Mental Health" provider in Dallas, Georgia. His current practice location is 43 Amanda Dr, Dallas, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 409-6280.

Ismail Raheem is licensed to practice in Georgia (license number LPC014810) 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 1508454513.

Contact Information

	Ismail Raheem,
	43 Amanda Dr, Dallas, GA 30157-6057
	(706) 409-6280
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ismail Raheem
Gender	Male
Speciality	Counselor - Mental Health
Location	43 Amanda Dr, Dallas, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508454513
Provider Enumeration Date: 01/05/2021
Last Update Date: 05/14/2025

Medicare PECOS Information:

PECOS PAC ID: 4082141130
Enrollment ID: I20241231001871

Medical Identifiers

Medical identifiers for Ismail Raheem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508454513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC014810 (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. Ismail Raheem allows following entities to bill medicare on his behalf.

Entity Name	Highland Rivers Community Service Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447256243 PECOS PAC ID: 9032000245 Enrollment ID: O20040324001204

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. Ismail Raheem 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
Ismail Raheem, 43 Amanda Dr, Dallas, GA 30157-6057 Ph: () -	Ismail Raheem, 43 Amanda Dr, Dallas, GA 30157-6057 Ph: (706) 409-6280

Reviews and Comments

Counselor in Dallas, GA

Mary Elizabeth Krusac, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Birch River Ct, Dallas, GA 30132 Phone: 678-744-8417
Mr. Joseph Baisden Mickler Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, #305, Dallas, GA 30157 Phone: 770-445-6358 Fax: 770-445-7262
Amanda D Lloyd, APC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 Log Cabin Dr Apt 706, Dallas, GA 30157 Phone: 770-410-8353
Kenneth Rowell, CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2713 Charles Hardy Pkwy Ste 233, Dallas, GA 30157 Phone: 855-641-1379
Ms. Christine J. Mezza, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2260 Gold Mine Rd, Dallas, GA 30157 Phone: 678-978-0464 Fax: 770-505-3190
Jeanine Carson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 White Ingram Pkwy, Dallas, GA 30132 Phone: 678-363-7447
Diana Keys, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Evans Mill Dr, Dallas, GA 30157 Phone: 678-395-1933

Ismail Raheem, - Medicare Counselor in Dallas, GA