Ms Gayle R Polston, MA, LPC, NCC in Florence, SC

Ms Gayle R Polston, MA, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Florence, South Carolina. Her current practice location is 1807 Cherokee Rd Ste 202, Life Changing Solutions, Llc, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 669-4233.

Ms Gayle R Polston is licensed to practice in South Carolina (license number 5064) 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 1770817462.

Contact Information

	Ms Gayle R Polston, MA, LPC, NCC
	1807 Cherokee Rd Ste 202, Life Changing Solutions, Llc, Florence, SC 29501-3101
	(843) 669-4233
	(843) 472-5021

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Gayle R Polston
Gender	Female
Speciality	Counselor - Professional
Location	1807 Cherokee Rd Ste 202, Florence, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770817462
Provider Enumeration Date: 09/28/2009
Last Update Date: 07/11/2013

Medicare PECOS Information:

PECOS PAC ID: 3274974472
Enrollment ID: I20240517002301

Medical Identifiers

Medical identifiers for Ms Gayle R Polston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770817462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5064 (South 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. Ms Gayle R Polston allows following entities to bill medicare on her behalf.

Entity Name	Lifecare Psychology Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295829026 PECOS PAC ID: 1850330408 Enrollment ID: O20050503000403

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. Ms Gayle R Polston 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
Ms Gayle R Polston, MA, LPC, NCC 704 S Franklin Dr, Life Changing Solutions, Florence, SC 29501-4504 Ph: (843) 669-4233	Ms Gayle R Polston, MA, LPC, NCC 1807 Cherokee Rd Ste 202, Life Changing Solutions, Llc, Florence, SC 29501-3101 Ph: (843) 669-4233

Reviews and Comments

Counselor in Florence, SC

Lakyn Bendle, Counselor Medicare: Medicare Enrolled Practice Location: 360 N Irby St, Florence, SC 29501 Phone: 843-667-9414 Fax: 843-667-1362
Mr. Bernard Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 E. National Cemetary Rd., Florence, SC 29506 Phone: 843-292-1027 Fax: 843-292-1030
Reghan Teressa Timmons, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4073 Fax: 843-317-4096
April Haynesworth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4073 Fax: 843-317-4096
Mrs. Stephanie Diane Thompson-otero, AADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 N Dargan St Ste 107, Florence, SC 29506 Phone: 843-618-4658
Mr. Levern Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 E Cheves St, Florence, SC 29506 Phone: 843-317-4089 Fax: 843-317-4096
Mr. George Patrick Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 S Dargan St, Apt 4-d, Florence, SC 29506 Phone: 843-661-4718 Fax: 843-661-4722

Ms Gayle R Polston, MA, LPC, NCC - Medicare Counselor in Florence, SC