Healthy Lives, LLC
A Medicare group practice based in Baltimore, MD: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 5193025534), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 5193025534
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20151208000085 | MD | Part B Supplier - Clinic/Group Practice | 1679171052 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Healthy Lives, LLC
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1679171052
-
Healthy Lives, LLC
- Clinical Social Worker
- Baltimore, MD
- NPI 1114268661
-
Healthy Lives, LLC
- Community/Behavioral Health Agency
- Baltimore, MD
- NPI 1366827073
Practice locations
- Baltimore, MD2
- Halethorpe, MD1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Patience Akrofi, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Baltimore, MD
- NPI 1568213445
-
Cassandra Ann Burks, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Randallstown, MD
- NPI 1700546223
-
Ahmein Watson, LCSW-C, LCADC
- Clinical Social Worker
- Baltimore, MD
- NPI 1588938237
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.