Laurel Ann Maik, LP, LPC is a medicare enrolled "Psychologist - Clinical" provider in Fountain, Colorado. She graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is
10764 Mcgahan Drive, Fountain, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 510-5851.
Laurel Ann Maik is licensed to practice in Colorado (license number PSY.0005696) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275137838.
Healthcare Provider's Profile
| Full Name | Laurel Ann Maik |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 9 Years |
|---|
| Location | 10764 Mcgahan Drive, Fountain, Colorado |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Laurel Ann Maik graduated from medical school in 2015
NPI Data:
- NPI Number: 1275137838
- Provider Enumeration Date: 11/24/2020
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 6103219936
- Enrollment ID: I20220131001189
Medical Identifiers
Medical identifiers for Laurel Ann Maik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275137838 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC.0014494 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY.0005696 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sondermind Provider Network Llc | 9537572490 | 485 |
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. Laurel Ann Maik allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210113002826 |
|---|
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. Laurel Ann Maik 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 |
|---|
Laurel Ann Maik, LP, LPC
6547 N Academy Boulevard #1269,
Colorado Springs, CO 80918
Ph: (719) 510-5851 | Laurel Ann Maik, LP, LPC
10764 Mcgahan Drive,
Fountain, CO 80817
Ph: (719) 510-5851 |
Reviews and Comments