John Widener, LPC, LMFT in Thomasville, GA - Medicare Counselor Provider

John Widener, LPC, LMFT is a medicare enrolled "Counselor - Mental Health" provider in Thomasville, Georgia. His current practice location is 125 E Monroe St, Thomasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 577-8795.

John Widener is licensed to practice in Georgia (license number LPC011205) 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 1467906537.

Contact Information

	John Widener, LPC, LMFT
	125 E Monroe St, Thomasville, GA 31792-5142
	(678) 577-8795
	(404) 860-2111

Map and Direction

Healthcare Provider's Profile

Full Name	John Widener
Gender	Male
Speciality	Counselor - Mental Health
Location	125 E Monroe St, Thomasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467906537
Provider Enumeration Date: 08/06/2016
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0547606915
Enrollment ID: I20240307001925

Medical Identifiers

Medical identifiers for John Widener such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467906537	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	MFT001705 (Georgia)	Secondary
101YM0800X	Counselor - Mental Health	LPC011205 (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. John Widener allows following entities to bill medicare on his behalf.

Entity Name	Black Sheep Trauma And Recovery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497407506 PECOS PAC ID: 4789020157 Enrollment ID: O20240307001587

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. John Widener 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
John Widener, LPC, LMFT 125 E Monroe St, Thomasville, GA 31792-5142 Ph: (678) 577-8795	John Widener, LPC, LMFT 125 E Monroe St, Thomasville, GA 31792-5142 Ph: (678) 577-8795

Reviews and Comments

Counselor in Thomasville, GA

Caroline S Chandler, Counselor Medicare: Medicare Enrolled Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-4335 Fax: 229-225-4374
Nsikan D Essien, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-4335 Fax: 229-225-4374
Mrs. Nicole Washington Gatlin, LPC, CRC, NCACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 14382 Us Highway 19 S, Thomasville, GA 31757 Phone: 229-228-5545 Fax: 229-226-4755
Mrs. Candace Crosby Humphries, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Suite M, Thomasville, GA 31792 Phone: 229-225-5208 Fax: 229-227-5458
Stephanie Hardy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 575 Carrington Cir, Thomasville, GA 31757 Phone: 229-224-3019
Heather Renee Hatchett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Suite K, Thomasville, GA 31792 Phone: 229-225-5208
Mary A Byrd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1102 Smith Ave, Thomasville, GA 31792 Phone: 229-225-4335 Fax: 229-225-4374

John Widener, LPC, LMFT - Medicare Counselor in Thomasville, GA