Geoffrey Allyn Lake, LSW in Shaker Heights, OH - Medicare Social Worker Provider

Geoffrey Allyn Lake, LSW is a medicare enrolled "Social Worker - Clinical" provider in Shaker Heights, Ohio. His current practice location is 22001 Fairmount Blvd, Shaker Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at (216) 932-6152.

Geoffrey Allyn Lake is licensed to practice in Ohio (license number S.1200724) 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 1982952503.

Contact Information

	Geoffrey Allyn Lake, LSW
	22001 Fairmount Blvd, Shaker Heights, OH 44118-4819
	(216) 932-6152
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Geoffrey Allyn Lake
Gender	Male
Speciality	Social Worker - Clinical
Location	22001 Fairmount Blvd, Shaker Heights, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982952503
Provider Enumeration Date: 08/29/2012
Last Update Date: 08/29/2012

Medicare PECOS Information:

PECOS PAC ID: 0042699456
Enrollment ID: I20220615001056

Medical Identifiers

Medical identifiers for Geoffrey Allyn Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982952503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	S.1200724 (Ohio)	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. Geoffrey Allyn Lake allows following entities to bill medicare on his behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210722002646

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. Geoffrey Allyn 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
Geoffrey Allyn Lake, LSW 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 Ph: (216) 932-6152	Geoffrey Allyn Lake, LSW 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 Ph: (216) 932-6152

Reviews and Comments

Social Worker in Shaker Heights, OH

Mrs. Kerry Katz, LISW-S Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8458 Fax: 216-932-8520
Pamela Budak, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8565
Lauren Delmore, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8482
Jill Sadowsky, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800
Ms. Sally L. Struk, LISW-S, CDCA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-932-2800
Mrs. Michelle Lynn Majka, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22001 Fairmount Blvd, Shaker Heights, OH 44118 Phone: 216-320-8325
Mary Bourdrez, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3086 Huntington Rd, Shaker Heights, OH 44120 Phone: 216-798-4541

Geoffrey Allyn Lake, LSW - Medicare Clinical Social Worker in Shaker Heights, OH