Laurajean Councill, DPM is a medicare enrolled "Podiatrist" provider in Pasadena, Maryland. Her current practice location is
3021 Mountain Rd Ste A, Pasadena, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 437-9366.
Laurajean Councill is licensed to practice in Maryland (license number 00971) 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 1487799490.
Healthcare Provider's Profile
Full Name | Laurajean Councill |
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Gender | Female |
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Speciality | Podiatrist |
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Location | 3021 Mountain Rd Ste A, Pasadena, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487799490
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 12/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305959107
- Enrollment ID: I20110124000120
Medical Identifiers
Medical identifiers for Laurajean Councill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487799490 | NPI | - | NPPES |
KBQ4CO | Other | MD | BLUE CROSS BLUE SHIELD |
W219-0001 | Other | DC | BLUE CROSS BLUE SHIELD |
W219-0001 | Other | DC | BLUE SHIELD FEP |
43428-8700 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 08828 (Maryland) | Secondary |
213E00000X | Podiatrist | 00971 (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. Laurajean Councill allows following entities to bill medicare on her behalf.
Entity Name | Councill & Brice |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679618516 PECOS PAC ID: 1052431483 Enrollment ID: O20110124000011 |
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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. Laurajean Councill 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 |
Laurajean Councill, DPM 3021 Mountain Rd Ste A, Pasadena, MD 21122-2015 Ph: (410) 437-9366 | Laurajean Councill, DPM 3021 Mountain Rd Ste A, Pasadena, MD 21122-2015 Ph: (410) 437-9366 |
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