Lara Amalia Collis, MA in Seattle, WA - Medicare Counselor Provider

Lara Amalia Collis, MA is a medicare enrolled "Counselor" provider in Seattle, Washington. Her current practice location is 3712 S Ferdinand St, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 723-2825.

Lara Amalia Collis is licensed to practice in Washington (license number RC00053143) 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 1194055400.

Contact Information

	Lara Amalia Collis, MA
	3712 S Ferdinand St, Seattle, WA 98118-1736
	(206) 723-2825
	(206) 282-3640

Map and Direction

Healthcare Provider's Profile

Full Name	Lara Amalia Collis
Gender	Female
Speciality	Counselor
Location	3712 S Ferdinand St, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194055400
Provider Enumeration Date: 01/08/2010
Last Update Date: 01/08/2010

Medicare PECOS Information:

PECOS PAC ID: 7315382249
Enrollment ID: I20240229003763

Medical Identifiers

Medical identifiers for Lara Amalia Collis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194055400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	RC00053143 (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. Lara Amalia Collis allows following entities to bill medicare on her behalf.

Entity Name	Greatland Mental Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477743532 PECOS PAC ID: 4385794437 Enrollment ID: O20090610000615

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. Lara Amalia Collis 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
Lara Amalia Collis, MA 3801 W. Government Way, Seattle, WA 98199 Ph: (206) 723-2825	Lara Amalia Collis, MA 3712 S Ferdinand St, Seattle, WA 98118-1736 Ph: (206) 723-2825

Reviews and Comments

Counselor in Seattle, WA

Charu Gupta, Counselor Medicare: Not Enrolled in Medicare Practice Location: Chdd Columbia Rd, Box 357920 Room 205, Seattle, WA 98195 Phone: 206-543-9930 Fax: 206-598-7815
Meghan Burt, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Ne 113th St, Seattle, WA 98125 Phone: 360-480-6550
Hilary Lynn King, MA, RC Counselor Medicare: Medicare Enrolled Practice Location: 401 Broadway, 1st Floor, 1st Floor, Seattle, WA 98104 Phone: 206-520-5000
James Eli Saad, BA, RC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 E Olive St, Sound Mental Health, Seattle, WA 98122 Phone: 206-302-2200 Fax: 206-302-2210
Pakalana L Li-sun, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10501 8th Ave Ne Apt 216, Seattle, WA 98125 Phone: 206-718-0664
Mrs. Shannon Sandeno, MA/LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Rainier Ave S, Seattle, WA 98144 Phone: 206-826-3050 Fax: 866-451-0126
Sarah Shallit, Counselor Medicare: Medicare Enrolled Practice Location: 6908 30th Ave S, Seattle, WA 98108 Phone: 206-930-1548

Lara Amalia Collis, MA - Medicare Counselor in Seattle, WA