Roselande Domond, LPC in Fayetteville, GA - Medicare Counselor Provider

Roselande Domond, LPC is a medicare enrolled "Counselor - Professional" provider in Fayetteville, Georgia. Her current practice location is 135 Bradford Sq Ste B, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 886-9112.

Roselande Domond is licensed to practice in Georgia (license number LPC007883) 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 1366847444.

Contact Information

	Roselande Domond, LPC
	135 Bradford Sq Ste B, Fayetteville, GA 30215-1902
	(678) 886-9112
	(404) 900-9088

Map and Direction

Healthcare Provider's Profile

Full Name	Roselande Domond
Gender	Female
Speciality	Counselor - Professional
Location	135 Bradford Sq Ste B, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366847444
Provider Enumeration Date: 10/30/2014
Last Update Date: 06/29/2020

Medicare PECOS Information:

PECOS PAC ID: 4183155476
Enrollment ID: I20240926003372

Medical Identifiers

Medical identifiers for Roselande Domond such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366847444	NPI	-	NPPES
003169295A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC007883 (Georgia)	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. Roselande Domond allows following entities to bill medicare on her behalf.

Entity Name	Diamond Counseling And Coaching, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497387963 PECOS PAC ID: 3274064571 Enrollment ID: O20240926003432

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. Roselande Domond 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
Roselande Domond, LPC 11658 Kades Trl, Hampton, GA 30228-4012 Ph: (678) 886-9112	Roselande Domond, LPC 135 Bradford Sq Ste B, Fayetteville, GA 30215-1902 Ph: (678) 886-9112

Reviews and Comments

Counselor in Fayetteville, GA

Melissa Stone Martinez, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 175 Bradford Sq Ste D, Fayetteville, GA 30215 Phone: 678-964-6023
Keisha L White, ED.S, NCC,LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lanier Ave W Ste 103b, Fayetteville, GA 30214 Phone: 404-800-4002
Ms. Lauren Marlena Givens, CRC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 144 Brogdon Rd, Fayetteville, GA 30214 Phone: 984-255-4841
Albert B Fisher, LPC Counselor Medicare: Medicare Enrolled Practice Location: 101 Rainbow Way, Fayetteville, GA 30214 Phone: 678-489-6017
Ms. Marilyn Catherine Roberts, M.S. LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 W Lanier Ave, Suite 508, Fayetteville, GA 30214 Phone: 678-817-6600 Fax: 678-817-6333
Vanessa J Hobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Wesley Pl, Fayetteville, GA 30214 Phone: 404-387-0564
Ms. Anne Marie Cook, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Habersham Dr, Fayetteville, GA 30214 Phone: 770-461-9944 Fax: 770-461-9779

Roselande Domond, LPC - Medicare Counselor in Fayetteville, GA