Madison Sports, LPC in Waycross, GA - Medicare Counselor Provider

Madison Sports, LPC is a medicare enrolled "Counselor - Mental Health" provider in Waycross, Georgia. Her current practice location is 1003 Mary St, Waycross, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 449-7100.

Madison Sports is licensed to practice in * (Not Available) (license number ) 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 1023801529.

Contact Information

	Madison Sports, LPC
	1003 Mary St, Waycross, GA 31503-3823
	(912) 449-7100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Sports
Gender	Female
Speciality	Counselor - Mental Health
Location	1003 Mary St, Waycross, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023801529
Provider Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6608385406
Enrollment ID: I20250603002733

Medical Identifiers

Medical identifiers for Madison Sports such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023801529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Madison Sports allows following entities to bill medicare on her behalf.

Entity Name	Unison Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528104866 PECOS PAC ID: 7517852247 Enrollment ID: O20040220000112

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. Madison Sports 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
Madison Sports, LPC 1007 Mary St, Waycross, GA 31503-3823 Ph: () -	Madison Sports, LPC 1003 Mary St, Waycross, GA 31503-3823 Ph: (912) 449-7100

Reviews and Comments

Counselor in Waycross, GA

Misty Burchette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100
Mrs. Linda Howard Cooper, BA APPLIED BEHAVIORA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1397 Smith Rd, Waycross, GA 31503 Phone: 912-550-1199
Stacie Norman, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 Mary St, Waycross, GA 31503 Phone: 912-449-7150 Fax: 912-449-7060
Charles E Pritchett, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1007 Mary St, Waycross, GA 31503 Phone: 912-449-7100
Latoya Lasha Woodard, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1007 Mary Street, Waycross, GA 31503 Phone: 912-449-7111
Judith L Hunt, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1705 Boulevard Sq, Suite A, Waycross, GA 31501 Phone: 912-283-4026 Fax: 912-283-4028

Madison Sports, LPC - Medicare Counselor in Waycross, GA