| Charlotte-ane Potter Willeke, | |
|
40 Beacon St E, Laconia, NH 03246-3437 | |
| (603) 524-1100 | |
| Not Available |
| Full Name | Charlotte-ane Potter Willeke |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 31 Years |
| Location | 40 Beacon St E, Laconia, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851437446 | NPI | - | NPPES |
| 889986A | Other | NH | MVP HEALTHCARE |
| 7706646Y0NH01 | Other | NH | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Lakes Region Mental Health Center, Inc | 7911957964 | 15 |
| Entity Name | The Lakes Region Mental Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902994866 PECOS PAC ID: 7911957964 Enrollment ID: O20050127000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte-ane Potter Willeke, 40 Beacon St E, Laconia, NH 03246-3437 Ph: (603) 524-1100 | Charlotte-ane Potter Willeke, 40 Beacon St E, Laconia, NH 03246-3437 Ph: (603) 524-1100 |
Ms. Tiffani Ann Arsenault, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Church St, Laconia, NH 03246 Phone: 603-524-1100 | |
Ms. Lisa Giguere Fortson, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Lafayette St, Laconia, NH 03246 Phone: 603-491-4573 | |
Mr. Phillip Buck Whitcher, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Church St, Laconia, NH 03246 Phone: 603-524-1100 | |
Rodney Ed Baker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 771 N Main Street, Laconia, NH 03246 Phone: 603-524-1100 | |
Sarah Lovering, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Church St, Laconia, NH 03246 Phone: 603-524-1100 | |
Mackenzie Desclos, Counselor Medicare: Accepting Medicare Assignments Practice Location: 40 Beacon St E, Laconia, NH 03246 Phone: 603-524-1100 | |
Ms. Kathryn A Stack, LCMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 111 Church St, Laconia, NH 03246 Phone: 603-536-1118 |