Mrs Beverly Dyshanne Booker, LCMHA in Winston Salem, NC

Mrs Beverly Dyshanne Booker, LCMHA is a medicare enrolled "Counselor - Professional" provider in Winston Salem, North Carolina. Her current practice location is 3333 Brookview Hills Blvd Ste 205, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 261-6440.

Mrs Beverly Dyshanne Booker is licensed to practice in North Carolina (license number A20095) 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 1083436018.

Contact Information

	Mrs Beverly Dyshanne Booker, LCMHA
	3333 Brookview Hills Blvd Ste 205, Winston Salem, NC 27103-5661
	(336) 261-6440
	(336) 232-1436

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Beverly Dyshanne Booker
Gender	Female
Speciality	Counselor - Professional
Location	3333 Brookview Hills Blvd Ste 205, Winston Salem, 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: 1083436018
Provider Enumeration Date: 10/30/2024
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 5395263255
Enrollment ID: I20250515000856

Medical Identifiers

Medical identifiers for Mrs Beverly Dyshanne Booker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083436018	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	A20095 (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. Mrs Beverly Dyshanne Booker allows following entities to bill medicare on her behalf.

Entity Name	Valera Counseling Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407335953 PECOS PAC ID: 6305363656 Enrollment ID: O20250509000889

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. Mrs Beverly Dyshanne Booker 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
Mrs Beverly Dyshanne Booker, LCMHA 351 Glendare Ct, Winston Salem, NC 27104-4735 Ph: (336) 745-6732	Mrs Beverly Dyshanne Booker, LCMHA 3333 Brookview Hills Blvd Ste 205, Winston Salem, NC 27103-5661 Ph: (336) 261-6440

Reviews and Comments

Counselor in Winston Salem, NC

Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523
Keren Happuch Williams, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999
Amanda Grace Connelly, Counselor Medicare: Medicare Enrolled Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620
Lesa Arnold Chesson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106 Phone: 336-896-0022

Mrs Beverly Dyshanne Booker, LCMHA - Medicare Counselor in Winston Salem, NC