Mosunmola Sandra Lake, DNP, PMHNP-BC in Berwyn Heights, MD

Mosunmola Sandra Lake, DNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berwyn Heights, Maryland. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 6215 Greenbelt Rd Ste 107, Berwyn Heights, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 272-1558.

Mosunmola Sandra Lake is licensed to practice in Maryland (license number R191756) 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 1275050288.

Contact Information

	Mosunmola Sandra Lake, DNP, PMHNP-BC
	6215 Greenbelt Rd Ste 107, Berwyn Heights, MD 20740-2355
	(301) 272-1558
	(301) 272-1559

Map and Direction

Provider's Profile

Full Name	Mosunmola Sandra Lake
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	6215 Greenbelt Rd Ste 107, Berwyn Heights, Maryland
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mosunmola Sandra Lake graduated from nursing school in 2015

NPI Data:

NPI Number: 1275050288
Provider Enumeration Date: 08/29/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6901171172
Enrollment ID: I20171014000190

Medical Identifiers

Medical identifiers for Mosunmola Sandra Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275050288	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R191756 (Maryland)	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. Mosunmola Sandra Lake allows following entities to bill medicare on her behalf.

Entity Name	Nimel Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528543253 PECOS PAC ID: 0143630731 Enrollment ID: O20201111000061

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. Mosunmola Sandra 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
Mosunmola Sandra Lake, DNP, PMHNP-BC 10801 Green Ash Ln, Beltsville, MD 20705-3851 Ph: (301) 263-4890	Mosunmola Sandra Lake, DNP, PMHNP-BC 6215 Greenbelt Rd Ste 107, Berwyn Heights, MD 20740-2355 Ph: (301) 272-1558

Reviews and Comments

Nurse Practitioner Nurses in Berwyn Heights, MD

Natoe L Goba, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Greenbelt Rd Ste M14, Berwyn Heights, MD 20740 Phone: 301-289-7722 Fax: 301-441-2518
Lucy Omoboye Ogunsuyi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8824 Cunningham Dr, Berwyn Heights, MD 20740 Phone: 240-965-0800
Veronica Chinwe Ike, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6201 Greenbelt Rd Ste M14, Berwyn Heights, MD 20740 Phone: 202-367-3927
Linda Ronma Williams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6201 Greenbelt Rd Ste M8a, Berwyn Heights, MD 20740 Phone: 301-798-6053 Fax: 301-798-6054
Joni Yvette Mills, CRNP-F Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8824 Cunningham Dr, Suite D, Berwyn Heights, MD 20740 Phone: 240-965-0800 Fax: 240-290-0037
Miss Koudiratou Radji, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6201 Greenbelt Rd Ste M18, Berwyn Heights, MD 20740 Phone: 301-272-4267 Fax: 301-560-5557

Mosunmola Sandra Lake, DNP, PMHNP-BC - Medicare Nurse Practitioner in Berwyn Heights, MD