Dr Cassaundra Linette Govan, PHD is a medicare enrolled "Psychologist" provider in Lithonia, Georgia. Her current practice location is
5755 Belmont Ridge Cir, Lithonia, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 386-5372.
Dr Cassaundra Linette Govan is licensed to practice in Georgia (license number PSY004382) 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 1114273232.
Healthcare Provider's Profile
Full Name | Dr Cassaundra Linette Govan |
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Gender | Female |
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Speciality | Psychologist |
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Location | 5755 Belmont Ridge Cir, Lithonia, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114273232
- Provider Enumeration Date: 07/26/2012
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082134192
- Enrollment ID: I20250219003243
Medical Identifiers
Medical identifiers for Dr Cassaundra Linette Govan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114273232 | NPI | - | NPPES |
12471700 | Other | GA | CAQH |
00313788A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSY004382 (Georgia) | Primary |
101Y00000X | Counselor | LPC006231 (Georgia) | Secondary |
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. Dr Cassaundra Linette Govan allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
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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. Dr Cassaundra Linette Govan 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 |
Dr Cassaundra Linette Govan, PHD 5755 Belmont Ridge Cir, Lithonia, GA 30038-4073 Ph: (678) 386-5372 | Dr Cassaundra Linette Govan, PHD 5755 Belmont Ridge Cir, Lithonia, GA 30038-4073 Ph: (678) 386-5372 |
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