Laketa Matlock, MED in New Albany, IN - Medicare Counselor Provider

Laketa Matlock, MED is a medicare enrolled "Counselor - Mental Health" provider in New Albany, Indiana. Her current practice location is 2627 Charlestown Rd, New Albany, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 944-1550.

Laketa Matlock is licensed to practice in * (Not Available) (license number ) 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 1285025171.

Contact Information

	Laketa Matlock, MED
	2627 Charlestown Rd, New Albany, IN 47150-2536
	(812) 944-1550
	(812) 725-7865

Map and Direction

Healthcare Provider's Profile

Full Name	Laketa Matlock
Gender	Female
Speciality	Counselor - Mental Health
Location	2627 Charlestown Rd, New Albany, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285025171
Provider Enumeration Date: 02/12/2015
Last Update Date: 02/12/2015

Medicare PECOS Information:

PECOS PAC ID: 2365895430
Enrollment ID: I20240125002395

Medical Identifiers

Medical identifiers for Laketa Matlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285025171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Laketa Matlock allows following entities to bill medicare on her behalf.

Entity Name	Cleanslate Medical Group Of Kentucky Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538600630 PECOS PAC ID: 4486909769 Enrollment ID: O20180611002156

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. Laketa Matlock 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
Laketa Matlock, MED 2627 Charlestown Rd, New Albany, IN 47150-2536 Ph: (812) 944-1550	Laketa Matlock, MED 2627 Charlestown Rd, New Albany, IN 47150-2536 Ph: (812) 944-1550

Reviews and Comments

Counselor in New Albany, IN

Michelle R Curtis, LCAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 State St, New Albany, IN 47150 Phone: 812-914-7038 Fax: 812-748-6035
Miss Karen Chinwe Idigo, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2627 Charlestown Rd, New Albany, IN 47150 Phone: 812-944-1550
Ms. Cheryl A Neal, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 821 Mount Tabor Rd, Suite 200, New Albany, IN 47150 Phone: 812-949-9241
April Louise Starks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Martin Dr Ste B, New Albany, IN 47150 Phone: 502-523-3803
Charles Robert Love, MDIV, LMHC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4925 Charlestown Rd, New Albany, IN 47150 Phone: 812-941-9200 Fax: 812-941-9205
Mr. John David Taylor, M.ED.,LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2818 Grant Line Rd, New Albany, IN 47150 Phone: 812-944-6120 Fax: 812-941-5726
Maame-safowaa Geary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2627 Charlestown Rd, New Albany, IN 47150 Phone: 812-944-1550

Laketa Matlock, MED - Medicare Counselor in New Albany, IN