Kenyon Kenyatta Dixon, LPC in Macon, GA - Medicare Counselor Provider

Kenyon Kenyatta Dixon, LPC is a medicare enrolled "Counselor - Professional" provider in Macon, Georgia. Her current practice location is 6055 Lakeside Commons Dr Ste 320, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 238-9344.

Kenyon Kenyatta Dixon is licensed to practice in Georgia (license number LPC006899) 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 1124398789.

Contact Information

	Kenyon Kenyatta Dixon, LPC
	6055 Lakeside Commons Dr Ste 320, Macon, GA 31210-5791
	(478) 238-9344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kenyon Kenyatta Dixon
Gender	Female
Speciality	Counselor - Professional
Location	6055 Lakeside Commons Dr Ste 320, Macon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124398789
Provider Enumeration Date: 01/12/2012
Last Update Date: 02/10/2025

Medicare PECOS Information:

PECOS PAC ID: 5496198178
Enrollment ID: I20240209000954

Medical Identifiers

Medical identifiers for Kenyon Kenyatta Dixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124398789	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	APC002359 (Georgia)	Secondary
101YP2500X	Counselor - Professional	LPC006899 (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. Kenyon Kenyatta Dixon allows following entities to bill medicare on her behalf.

Entity Name	Albany Area Community Svc. Board
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063464212 PECOS PAC ID: 9032190483 Enrollment ID: O20040601000373

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. Kenyon Kenyatta Dixon 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
Kenyon Kenyatta Dixon, LPC 415 N Jackson St, Americus, GA 31709-3015 Ph: (229) 931-2470	Kenyon Kenyatta Dixon, LPC 6055 Lakeside Commons Dr Ste 320, Macon, GA 31210-5791 Ph: (478) 238-9344

Reviews and Comments

Counselor in Macon, GA

Mrs. Carolyn Woodard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 688 Walnut St, 202, Macon, GA 31201 Phone: 478-254-3751 Fax: 478-254-3752
Lashica M Wilburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4378 Barrington Pl, Macon, GA 31210 Phone: 478-262-5525
Quitman John Brigmond Jr., LPC Counselor Medicare: Medicare Enrolled Practice Location: 144 Pierce Ave, Macon, GA 31204 Phone: 478-475-4608 Fax: 478-476-8397
Mr. Jonathan Allen Mendez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2607 Vineville Ave Ste 107, Macon, GA 31204 Phone: 478-305-9913
Mr. Joe Wilson, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Pierce Avenue, Macon, GA 31204 Phone: 478-475-4608 Fax: 478-476-8397
Miss Mary Angie Mcgukin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 304 Pierce Ave, Macon, GA 31204 Phone: 478-751-2206
Brittany Mickey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 Northwoods Plaza, Macon, GA 31204 Phone: 478-951-8753

Kenyon Kenyatta Dixon, LPC - Medicare Counselor in Macon, GA