Andrea Doherty Lissuzzo, LCSW - Medicare Clinical Social Worker in River Forest, IL

Andrea Doherty Lissuzzo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in River Forest, Illinois. Her current practice location is 526 Keystone Ave, River Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 710-2650.

Andrea Doherty Lissuzzo is licensed to practice in Illinois (license number 149.007467) 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 1699375592.

Contact Information

Andrea Doherty Lissuzzo, LCSW
526 Keystone Ave,
River Forest, IL 60305-1612
(708) 710-2650
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAndrea Doherty Lissuzzo
GenderFemale
SpecialitySocial Worker - Clinical
Location526 Keystone Ave, River Forest, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699375592
  • Provider Enumeration Date: 10/29/2020
  • Last Update Date: 10/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133534688
  • Enrollment ID: I20230519001186

Medical Identifiers

Medical identifiers for Andrea Doherty Lissuzzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699375592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149.007467 (Illinois)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. Andrea Doherty Lissuzzo allows following entities to bill medicare on her behalf.
Entity NameMosaic Counseling And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851065502
PECOS PAC ID: 1355728353
Enrollment ID: O20220512001904

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. Andrea Doherty Lissuzzo 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 AddressPractice Location Address
Andrea Doherty Lissuzzo, LCSW
526 Keystone Ave,
River Forest, IL 60305-1612

Ph: (708) 710-2650
Andrea Doherty Lissuzzo, LCSW
526 Keystone Ave,
River Forest, IL 60305-1612

Ph: (708) 710-2650

Reviews and Comments


Social Worker in River Forest, IL

Carol Ann Jabs, PHD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.