Danielle Lidke-prow, LPC in Brunswick, GA - Medicare Counselor Provider

Danielle Lidke-prow, LPC is a medicare enrolled "Counselor - Mental Health" provider in Brunswick, Georgia. Her current practice location is 513 Gloucester St, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 289-2497.

Danielle Lidke-prow is licensed to practice in Georgia (license number LPC012120) 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 1780315218.

Contact Information

	Danielle Lidke-prow, LPC
	513 Gloucester St, Brunswick, GA 31520-7014
	(912) 289-2497
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Danielle Lidke-prow
Gender	Female
Speciality	Counselor - Mental Health
Location	513 Gloucester St, Brunswick, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780315218
Provider Enumeration Date: 06/24/2022
Last Update Date: 06/24/2022

Medicare PECOS Information:

PECOS PAC ID: 5799229811
Enrollment ID: I20240701001674

Medical Identifiers

Medical identifiers for Danielle Lidke-prow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780315218	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC012120 (Georgia)	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. Danielle Lidke-prow allows following entities to bill medicare on her behalf.

Entity Name	Gateway Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558478214 PECOS PAC ID: 3173510237 Enrollment ID: O20040429000700

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. Danielle Lidke-prow 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
Danielle Lidke-prow, LPC 1117 Kings Cross, Brunswick, GA 31525-6822 Ph: (303) 515-0125	Danielle Lidke-prow, LPC 513 Gloucester St, Brunswick, GA 31520-7014 Ph: (912) 289-2497

Reviews and Comments

Counselor in Brunswick, GA

Kristen A Keene, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 F St Ste 202, Brunswick, GA 31520 Phone: 912-319-4041
Kendall Disa Boges, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1600 Ellis St, Brunswick, GA 31520 Phone: 912-289-1626 Fax: 912-289-2414
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Lutas Labarba, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Pheasant Dr, Brunswick, GA 31525 Phone: 912-580-6599
Dorothy Lee Melton, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3045 Scarlett St, Brunswick, GA 31520 Phone: 912-554-8500

Danielle Lidke-prow, LPC - Medicare Counselor in Brunswick, GA