Amy Taake, LPC, SAC in Appleton, WI - Medicare Counselor Provider

Amy Taake, LPC, SAC is a medicare enrolled "Counselor - Mental Health" provider in Appleton, Wisconsin. Her current practice location is 1011 N Lynndale Dr Ste 2d, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 385-1420.

Amy Taake is licensed to practice in Wisconsin (license number 3679-226) 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 1194234922.

Contact Information

	Amy Taake, LPC, SAC
	1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091
	(920) 385-1420
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Taake
Gender	Female
Speciality	Counselor - Mental Health
Location	1011 N Lynndale Dr Ste 2d, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194234922
Provider Enumeration Date: 09/25/2017
Last Update Date: 10/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5193256113
Enrollment ID: I20241002000041

Medical Identifiers

Medical identifiers for Amy Taake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194234922	NPI	-	NPPES
813042847	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	16225-131 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	3679-226 (Wisconsin)	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. Amy Taake allows following entities to bill medicare on her behalf.

Entity Name	Lk Anderson Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215401468 PECOS PAC ID: 8325489438 Enrollment ID: O20240507002543

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. Amy Taake 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
Amy Taake, LPC, SAC 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091 Ph: (920) 385-1420	Amy Taake, LPC, SAC 1011 N Lynndale Dr Ste 2d, Appleton, WI 54914-3091 Ph: (920) 385-1420

Reviews and Comments

Counselor in Appleton, WI

Ms. Maria Gloria Vercimak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451
Mr. John Barajas, LPC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 4650 W Spencer St, Appleton, WI 54914 Phone: 920-903-1060 Fax: 920-903-1060
Pablo E Serna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Walnut St, Appleton, WI 54911 Phone: 920-832-4741 Fax: 920-832-2185
Kimberly Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 N Richmond St, Appleton, WI 54911 Phone: 920-730-1321 Fax: 920-734-2824
Teri G Metropulos, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 229 S. Morrison, Appleton, WI 54911 Phone: 920-832-2783 Fax: 920-832-2635
Nhia Moua, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 W Grande Market Dr Ste N, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164
Trevor Konetzke, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Glenridge Ct, Appleton, WI 54914 Phone: 920-731-3981

Amy Taake, LPC, SAC - Medicare Counselor in Appleton, WI