Toni Lavely, - Medicare Counselor in Frederick, CO

Toni Lavely, is a medicare enrolled "Counselor" provider in Frederick, Colorado. Her current practice location is 142 6th St Unit 2, Frederick, Colorado. You can reach out to her office (for appointments etc.) via phone at (130) 383-3084.

Toni Lavely is licensed to practice in * (Not Available) (license number ) 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 1558819961.

Contact Information

Toni Lavely,
142 6th St Unit 2,
Frederick, CO 80530-5004
(130) 383-3084
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameToni Lavely
GenderFemale
SpecialityCounselor
Location142 6th St Unit 2, Frederick, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558819961
  • Provider Enumeration Date: 09/14/2016
  • Last Update Date: 12/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4587000401
  • Enrollment ID: I20240313002332

Medical Identifiers

Medical identifiers for Toni Lavely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558819961NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101Y00000XCounselor (* (Not Available))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. Toni Lavely allows following entities to bill medicare on her behalf.
Entity NameSondermind Provider Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Toni Lavely 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 AddressPractice Location Address
Toni Lavely,
Po Box 718,
Firestone, CO 80520

Ph: () -
Toni Lavely,
142 6th St Unit 2,
Frederick, CO 80530-5004

Ph: (130) 383-3084

Reviews and Comments


Counselor in Frederick, CO

Ms. Jacquelyn Patricia Harris, MA,LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: Po Box 616, Frederick, CO 80530
Phone: 281-300-1836    
Erin Daugherty, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5206 13th St, Frederick, CO 80504
Phone: 539-252-1298    
Nicole Lynn Simpson, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5479 Shoshone Dr, Frederick, CO 80504
Phone: 720-340-2367    
Mrs. Kristina L Coonce, MA, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 7403 Farmdale St, Frederick, CO 80530
Phone: 920-420-5575    
Luis Felipe Diaz, RP
Counselor
Medicare: Medicare Enrolled
Practice Location: 5995 Iris Pkwy, Frederick, CO 80504
Phone: 303-697-2583    
Patricia Ann Carlson, MA, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5476 Caribou Dr, Frederick, CO 80504
Phone: 720-753-7996    
Lissette D Frederick, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 5995 Iris Pkwy, Frederick, CO 80504
Phone: 303-697-2583    Fax: 303-833-6515

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.