Stacey Katheryn Lundquist, LGPC in Bowie, MD - Medicare Counselor Provider

Stacey Katheryn Lundquist, LGPC is a medicare enrolled "Counselor" provider in Bowie, Maryland. Her current practice location is 3060 Michellville Rd, Suite 106, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 893-4600.

Stacey Katheryn Lundquist is licensed to practice in Maryland (license number LGP8365) 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 1508330903.

Contact Information

	Stacey Katheryn Lundquist, LGPC
	3060 Michellville Rd, Suite 106, Bowie, MD 20716
	(410) 893-4600
	(443) 640-4358

Map and Direction

Healthcare Provider's Profile

Full Name	Stacey Katheryn Lundquist
Gender	Female
Speciality	Counselor
Location	3060 Michellville Rd, Bowie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508330903
Provider Enumeration Date: 01/18/2019
Last Update Date: 01/18/2019

Medicare PECOS Information:

PECOS PAC ID: 5597202432
Enrollment ID: I20240808003990

Medical Identifiers

Medical identifiers for Stacey Katheryn Lundquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508330903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LGP8365 (Maryland)	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. Stacey Katheryn Lundquist allows following entities to bill medicare on her behalf.

Entity Name	Safe Harbor Behavioral Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242

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. Stacey Katheryn Lundquist 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
Stacey Katheryn Lundquist, LGPC 7316 Bramblebush Ter, Laurel, MD 20707-9514 Ph: (646) 532-8486	Stacey Katheryn Lundquist, LGPC 3060 Michellville Rd, Suite 106, Bowie, MD 20716 Ph: (410) 893-4600

Reviews and Comments

Counselor in Bowie, MD

Lyndani Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8207 Climbing Fern Ct, Bowie, MD 20715 Phone: 301-404-1083
Mr. Shawn M Mcbride, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3060 Mitchellville Rd Ste 106, Bowie, MD 20716 Phone: 301-615-4510
Yolanda Compton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2905 Mitchellville Rd Ste 204, Bowie, MD 20716 Phone: 301-701-6965
Telisia D Dodd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1801 Southwood Ct, Bowie, MD 20721 Phone: 301-254-9809
Dr. Natalie M. Snell, PSY. D, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4450 Mitchellville Rd Ste 1110, Bowie, MD 20716 Phone: 443-890-5755
Mr. Anthony Bernard Pinkney, MA, LCPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16701 Melford Blvd Ste 400, Bowie, MD 20715 Phone: 415-424-4266 Fax: 415-520-6633
Ms. Arnette Loraine Georges, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12104 Myra Pl, Bowie, MD 20715 Phone: 703-731-9060

Stacey Katheryn Lundquist, LGPC - Medicare Counselor in Bowie, MD