Mr Takavar Ghane, LCMHC in St George, UT - Medicare Counselor Provider

Mr Takavar Ghane, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in St George, Utah. His current practice location is 1664 S Dixie Dr Ste E102, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 703-9647.

Mr Takavar Ghane is licensed to practice in Utah (license number 6782719-6004) 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 1053864066.

Contact Information

	Mr Takavar Ghane, LCMHC
	1664 S Dixie Dr Ste E102, St George, UT 84770-7329
	(435) 703-9647
	(435) 703-6003

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Takavar Ghane
Gender	Male
Speciality	Counselor - Mental Health
Location	1664 S Dixie Dr Ste E102, St George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053864066
Provider Enumeration Date: 07/26/2016
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8325490394
Enrollment ID: I20240116002461

Medical Identifiers

Medical identifiers for Mr Takavar Ghane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053864066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	6782719-6004 (Utah)	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 Takavar Ghane allows following entities to bill medicare on his behalf.

Entity Name	Alberto Souza Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972141588 PECOS PAC ID: 1254766371 Enrollment ID: O20200120000856

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 Takavar Ghane 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 Takavar Ghane, LCMHC 1664 S Dixie Dr Ste E102, St George, UT 84770-7329 Ph: (435) 703-9647	Mr Takavar Ghane, LCMHC 1664 S Dixie Dr Ste E102, St George, UT 84770-7329 Ph: (435) 703-9647

Reviews and Comments

Counselor in St George, UT

Lukas Hildebrandt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St Ste 7, St George, UT 84770 Phone: 801-255-5131
Jan Hadlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1492 S Silicon Way Ste A, St George, UT 84770 Phone: 435-275-8911
Andrew J Weibert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Bluff St Ste 5, St George, UT 84770 Phone: 435-229-9177
Jason Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 E 600 S, St George, UT 84770 Phone: 435-705-7574
Sarah Cowley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 W 200 N, Suite 300, St George, UT 84770 Phone: 435-634-5621 Fax: 435-986-8700
Kiley Shelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1067 E Tabernacle St, Suite 7, St George, UT 84770 Phone: 801-255-5131 Fax: 801-255-5131
Samantha Montag, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1492 S Silicon Way Ste A, St George, UT 84770 Phone: 435-275-8911

Mr Takavar Ghane, LCMHC - Medicare Counselor in St George, UT