Eric Lanham, is a medicare enrolled "Counselor - Mental Health" provider in Micanopy, Florida. His current practice location is
22157 Nw 87th Avenue Rd, Micanopy, Florida. You can reach out to his office (for appointments etc.) via phone at
(502) 299-2282.
Eric Lanham is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174280705.
Healthcare Provider's Profile
| Full Name | Eric Lanham |
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| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 22157 Nw 87th Avenue Rd, Micanopy, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174280705
- Provider Enumeration Date: 11/18/2021
- Last Update Date: 11/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113444233
- Enrollment ID: I20250512001954
Medical Identifiers
Medical identifiers for Eric Lanham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174280705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (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. Eric Lanham allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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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. Eric Lanham 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 |
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Eric Lanham,
22157 Nw 87th Avenue Rd,
Micanopy, FL 32667-7439
Ph: (502) 299-2282 | Eric Lanham,
22157 Nw 87th Avenue Rd,
Micanopy, FL 32667-7439
Ph: (502) 299-2282 |
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