Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI in Pleasant Garden, NC

Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI is a medicare enrolled "Counselor - Professional" provider in Pleasant Garden, North Carolina. His current practice location is 6715 Hockett Country Ln, Pleasant Garden, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 508-0714.

Mr Marvin Theadore Keaton Iii is licensed to practice in North Carolina (license number 7790S) 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 1942518048.

Contact Information

	Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI
	6715 Hockett Country Ln, Pleasant Garden, NC 27313-8262
	(336) 508-0714
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Marvin Theadore Keaton Iii
Gender	Male
Speciality	Counselor - Professional
Location	6715 Hockett Country Ln, Pleasant Garden, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942518048
Provider Enumeration Date: 09/23/2010
Last Update Date: 05/25/2021

Medicare PECOS Information:

PECOS PAC ID: 8820440001
Enrollment ID: I20240124000323

Medical Identifiers

Medical identifiers for Mr Marvin Theadore Keaton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942518048	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	LCAS-23799 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	7790S (North Carolina)	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. Mr Marvin Theadore Keaton Iii allows following entities to bill medicare on his behalf.

Entity Name	Saved Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740762160 PECOS PAC ID: 2860823101 Enrollment ID: O20200520002815

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. Mr Marvin Theadore Keaton Iii 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
Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI 6715 Hockett Country Ln, Pleasant Garden, NC 27313-8262 Ph: (336) 508-0714	Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI 6715 Hockett Country Ln, Pleasant Garden, NC 27313-8262 Ph: (336) 508-0714

Reviews and Comments

Counselor in Pleasant Garden, NC

Lisa Tofano Hathaway, MBA, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4558 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-338-9291
Dr. Karen Meadows, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4558 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-338-9291
Mrs. Monica Jones, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4819 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-338-9291
Alicia Brown, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4811 Pleasant Garden Rd, Pleasant Garden, NC 27313 Phone: 336-601-4551

Mr Marvin Theadore Keaton Iii, MA, LCMHCS, LCAS,CSI - Medicare Counselor in Pleasant Garden, NC