Mrs Amy R Lake, LCPC in Elkton, MD - Medicare Counselor Provider

Mrs Amy R Lake, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Elkton, Maryland. Her current practice location is 200 Booth St, Elkton, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 996-5104.

Mrs Amy R Lake is licensed to practice in Maryland (license number LC2264) 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 1518011402.

Contact Information

	Mrs Amy R Lake, LCPC
	200 Booth St, Elkton, MD 21921-5657
	(410) 996-5104
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amy R Lake
Gender	Female
Speciality	Counselor - Mental Health
Location	200 Booth St, Elkton, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518011402
Provider Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2264882745
Enrollment ID: I20231225000095

Medical Identifiers

Medical identifiers for Mrs Amy R Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518011402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LC2264 (Maryland)	Primary
101YM0800X	Counselor - Mental Health	PC003919 (Pennsylvania)	Secondary

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. Mrs Amy R Lake allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210429000005

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. Mrs Amy R Lake 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
Mrs Amy R Lake, LCPC 102 Kenwood Ln, Wilmington, DE 19804-2324 Ph: () -	Mrs Amy R Lake, LCPC 200 Booth St, Elkton, MD 21921-5657 Ph: (410) 996-5104

Reviews and Comments

Counselor in Elkton, MD

Ms. Christine C Prather, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1275b W Pulaski Hwy, Elkton, MD 21921 Phone: 410-620-7161
Emily Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-3400
Mrs. Tonia Casen Mcmillan, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Blue Ball Ave, Elkton, MD 21921 Phone: 410-620-6077 Fax: 410-620-6081
Andrew Nelson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-5104
Jan L Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 Blue Ball Ave, Elkton, MD 21921 Phone: 410-620-6077 Fax: 410-620-6081
Gabrielle Pasua Kennard, LSCW-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 200 Booth St, Elkton, MD 21921 Phone: 410-996-3450
Ms. Megan L. Mullins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 Phone: 410-491-8201

Mrs Amy R Lake, LCPC - Medicare Counselor in Elkton, MD