David Flack, LMHC, SUDP in Burien, WA - Medicare Counselor Provider

David Flack, LMHC, SUDP is a medicare enrolled "Counselor - Mental Health" provider in Burien, Washington. His current practice location is 15458 21st Ave Sw, Burien, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 327-4478.

David Flack is licensed to practice in Washington (license number LH60548722) 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 1790041507.

Contact Information

	David Flack, LMHC, SUDP
	15458 21st Ave Sw, Burien, WA 98166-9816
	(206) 327-4478
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Flack
Gender	Male
Speciality	Counselor - Mental Health
Location	15458 21st Ave Sw, Burien, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790041507
Provider Enumeration Date: 04/05/2012
Last Update Date: 07/08/2022

Medicare PECOS Information:

PECOS PAC ID: 2365894466
Enrollment ID: I20240112004252

Medical Identifiers

Medical identifiers for David Flack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790041507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP00006223 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	LH60548722 (Washington)	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. David Flack allows following entities to bill medicare on his behalf.

Entity Name	Mindful Therapy Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730

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. David Flack 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
David Flack, LMHC, SUDP 15458 21st Ave Sw, Burien, WA 98166-5801 Ph: (206) 327-4478	David Flack, LMHC, SUDP 15458 21st Ave Sw, Burien, WA 98166-9816 Ph: (206) 327-4478

Reviews and Comments

Counselor in Burien, WA

Taylor Marie Grogan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600
Elsa Nobue Yeomans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600
James Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 Sw 153rd St, Burien, WA 98166 Phone: 206-242-4915
Aimee Marie Eveatt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-257-6600
Ms. Kenya Marie Broadnax, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-242-1126 Fax: 206-829-1258
Dave Wolthausen, CD , LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Sw 136th St, Burien, WA 98166 Phone: 206-257-6600
Angela Therase Ray Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1033 Sw 152nd St, Burien, WA 98166 Phone: 206-933-7153

David Flack, LMHC, SUDP - Medicare Counselor in Burien, WA