Dr Amanda Richards Lakusta, MD is a medicare enrolled "Ophthalmology" physician in Charlotte Hall, Maryland. Her current practice location is
30065 Business Center Dr, Suite 1, Charlotte Hall, Maryland. You can reach out to her office (for appointments etc.) via phone at
(301) 290-5915.
Dr Amanda Richards Lakusta is licensed to practice in Maryland (license number D79626) 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 1528288669.
Physician's Profile
Full Name | Dr Amanda Richards Lakusta |
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Gender | Female |
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Speciality | Ophthalmology |
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Location | 30065 Business Center Dr, Charlotte Hall, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528288669
- Provider Enumeration Date: 04/30/2007
- Last Update Date: 12/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193964211
- Enrollment ID: I20180808000025
Medical Identifiers
Medical identifiers for Dr Amanda Richards Lakusta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528288669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | D79626 (Maryland) | Primary |
207W00000X | Ophthalmology | 0101254763 (Virginia) | Secondary |
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. Dr Amanda Richards Lakusta allows following entities to bill medicare on her behalf.
Entity Name | Visalia Eye Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770527335 PECOS PAC ID: 0345264222 Enrollment ID: O20060118000596 |
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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. Dr Amanda Richards Lakusta 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 |
Dr Amanda Richards Lakusta, MD 30065 Business Center Dr, Suite 1, Charlotte Hall, MD 20622-3195 Ph: (301) 290-5915 | Dr Amanda Richards Lakusta, MD 30065 Business Center Dr, Suite 1, Charlotte Hall, MD 20622-3195 Ph: (301) 290-5915 |
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