Bradley Allan Lake, LMSW in Detroit, MI - Medicare Clinical Social Worker Provider

Bradley Allan Lake, LMSW is a medicare enrolled "Social Worker" provider in Detroit, Michigan. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Richard Kneip, Ph.d., P.c. and his current practice location is 2925 Russell St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 396-5300.

Bradley Allan Lake is licensed to practice in Michigan (license number 6801113780) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083261705.

Contact Information

	Bradley Allan Lake, LMSW
	2925 Russell St, Detroit, MI 48207-4825
	(313) 396-5300
	(313) 396-5353

Map and Direction

Healthcare Provider's Profile

Full Name	Bradley Allan Lake
Gender	Male
Speciality	Clinical Social Worker
Experience	5 Years
Location	2925 Russell St, Detroit, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bradley Allan Lake graduated from medical school in 2019

NPI Data:

NPI Number: 1083261705
Provider Enumeration Date: 08/19/2019
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 0648663419
Enrollment ID: I20220201000183

Medical Identifiers

Medical identifiers for Bradley Allan Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083261705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801113780 (Michigan)	Secondary
104100000X	Social Worker	6801113780 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Richard Kneip, Ph.d., P.c.	4880768415	182

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. Bradley Allan Lake allows following entities to bill medicare on his behalf.

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086

Entity Name	Team Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384

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. Bradley Allan Lake 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
Bradley Allan Lake, LMSW 4131 Clippert St, Dearborn Heights, MI 48125-2732 Ph: (313) 680-0019	Bradley Allan Lake, LMSW 2925 Russell St, Detroit, MI 48207-4825 Ph: (313) 396-5300

Reviews and Comments

Social Worker in Detroit, MI

Mary Decarolis, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-417-2769
Debbie Shell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 W Grand Blvd, New Center Community Mental Health Services, Detroit, MI 48208 Phone: 313-961-3221
Leah Welton, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79 W Alexandrine St, Detroit, MI 48201 Phone: 313-831-5535 Fax: 313-831-2608
Mrs. Sinita Hankins, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500
Yolonda Kinsey, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7310 Woodward Ave, Detroit, MI 48202 Phone: 313-896-1444
Leslie Marie Wilson, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19750 Burt Rd, Detroit, MI 48219 Phone: 313-531-2500
Chama Paulina Maweja, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12800 E Warren Ave, Detroit, MI 48215 Phone: 313-824-8000

Bradley Allan Lake, LMSW - Medicare Clinical Social Worker in Detroit, MI