Laurajean Councill, DPM is a
Podiatrist based in Pasadena, Maryland. Laurajean Councill is licensed to practice in Maryland (license number 00971) and her current practice location is
3021 Mountain Rd Ste A, Pasadena, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 437-9366.
NPI number for Laurajean Councill is 1487799490 and her current mailing address is 3021 Mountain Rd Ste A, Pasadena, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487799490.
Healthcare Provider's Profile
Full Name | Laurajean Councill |
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Gender | Female |
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Speciality | Podiatrist |
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Location | 3021 Mountain Rd Ste A, Pasadena, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487799490
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 12/22/2022
Medical Identifiers
Medical identifiers for Laurajean Councill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487799490 | NPI | - | NPPES |
KBQ4CO | Other | MD | BLUE CROSS BLUE SHIELD |
W219-0001 | Other | DC | BLUE CROSS BLUE SHIELD |
W219-0001 | Other | DC | BLUE SHIELD FEP |
43428-8700 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 08828 (Maryland) | Secondary |
213E00000X | Podiatrist | 00971 (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. Laurajean Councill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Laurajean Councill, DPM 3021 Mountain Rd Ste A, Pasadena, MD 21122-2015 Ph: (410) 437-9366 | Laurajean Councill, DPM 3021 Mountain Rd Ste A, Pasadena, MD 21122-2015 Ph: (410) 437-9366 |
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