Marvida Frances Louise Lake, is a medicare enrolled "Counselor - Mental Health" provider in Maryland, Maryland. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. Her current practice location is
8609 Park Avenue, Bowie, Maryland, Maryland. You can reach out to her office (for appointments etc.) via phone at
(919) 741-3481.
Marvida Frances Louise Lake is licensed to practice in Maryland (license number LC16469) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1588249726.
Healthcare Provider's Profile
| Full Name | Marvida Frances Louise Lake |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 7 Years |
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| Location | 8609 Park Avenue, Maryland, Maryland |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Marvida Frances Louise Lake graduated from medical school in 2019
NPI Data:
- NPI Number: 1588249726
- Provider Enumeration Date: 03/09/2021
- Last Update Date: 05/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3476064221
- Enrollment ID: I20250618000505
Medical Identifiers
Medical identifiers for Marvida Frances Louise Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588249726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | LGP11474 (Maryland) | Secondary |
| 101YM0800X | Counselor - Mental Health | LC16469 (Maryland) | Primary |
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. Marvida Frances Louise Lake 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 |
Marvida Frances Louise Lake, 8609 Park Ave, Bowie, MD 20720-3698 Ph: (919) 741-3481 | Marvida Frances Louise Lake, 8609 Park Avenue, Bowie, Maryland, MD 20720 Ph: (919) 741-3481 |
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