Dr Piave Pitisci Lake, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Daniel Island, South Carolina. She went to Tulane University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Djb Md Llc and her current practice location is
115 Fairchild St Ste 170, Daniel Island, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 339-1563.
Dr Piave Pitisci Lake is licensed to practice in South Carolina (license number 22627) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316075203.
Physician's Profile
| Full Name | Dr Piave Pitisci Lake |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 27 Years |
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| Location | 115 Fairchild St Ste 170, Daniel Island, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Piave Pitisci Lake attended and graduated from Tulane University School Of Medicine in 1997
NPI Data:
- NPI Number: 1316075203
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 08/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 3678697281
- Enrollment ID: I20100903000425
Medical Identifiers
Medical identifiers for Dr Piave Pitisci Lake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316075203 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 22627 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Djb Md Llc | 8325467384 | 4 |
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 Piave Pitisci Lake allows following entities to bill medicare on her behalf.
| Entity Name | Piave Pitisci Lake Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518287523
PECOS PAC ID: 4587856299
Enrollment ID: O20101012001276 |
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| Entity Name | Djb Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366941148
PECOS PAC ID: 8325467384
Enrollment ID: O20200924003328 |
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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 Piave Pitisci 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 |
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Dr Piave Pitisci Lake, MD
115 Fairchild St Ste 170,
Daniel Island, SC 29492-7602
Ph: (803) 339-1563 | Dr Piave Pitisci Lake, MD
115 Fairchild St Ste 170,
Daniel Island, SC 29492-7602
Ph: (803) 339-1563 |
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