Lisa M Defazio, MSW, LCSW in Kenosha, WI - Medicare Clinical Social Worker Provider

Lisa M Defazio, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Psychiatric And Psychotherapy Clinic L I Newman Md Sc Gen Ptr and her current practice location is 3734 7th Ave, Suite 24, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 654-0487.

Lisa M Defazio is licensed to practice in Wisconsin (license number 7524-123) 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 1336374925.

Contact Information

	Lisa M Defazio, MSW, LCSW
	3734 7th Ave, Suite 24, Kenosha, WI 53140-5525
	(262) 654-0487
	(262) 654-2434

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa M Defazio
Gender	Female
Speciality	Clinical Social Worker
Experience	18 Years
Location	3734 7th Ave, Kenosha, Wisconsin
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:

Lisa M Defazio graduated from medical school in 2006

NPI Data:

NPI Number: 1336374925
Provider Enumeration Date: 05/26/2009
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID: 9638352594
Enrollment ID: I20110330000638

Medical Identifiers

Medical identifiers for Lisa M Defazio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336374925	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7524-123 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychiatric And Psychotherapy Clinic L I Newman Md Sc Gen Ptr	0547200198	6

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. Lisa M Defazio allows following entities to bill medicare on her behalf.

Entity Name	Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932312212 PECOS PAC ID: 0547200198 Enrollment ID: O20050503001288

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. Lisa M Defazio 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
Lisa M Defazio, MSW, LCSW 6125 Green Bay Rd, Ste 700, Kenosha, WI 53142-2928 Ph: (262) 654-0487	Lisa M Defazio, MSW, LCSW 3734 7th Ave, Suite 24, Kenosha, WI 53140-5525 Ph: (262) 654-0487

Reviews and Comments

Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144 Phone: 262-842-0500 Fax: 262-842-0502
Kathryn Ann Aalto, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140 Phone: 262-654-9370 Fax: 262-654-9379
David S Meyers, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 60th St, Kenosha, WI 53140 Phone: 262-654-5333 Fax: 262-654-7818
Nicholas Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-674-3718
Shonda Lynn Gagliano, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7723 32nd Ave, Kenosha, WI 53142 Phone: 262-573-4549
Victoria Mahboub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6014 41st Ave, Kenosha, WI 53142 Phone: 262-818-3531
Jennifer Brau, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4633 Washington Rd, Kenosha, WI 53144 Phone: 262-652-7222

Lisa M Defazio, MSW, LCSW - Medicare Clinical Social Worker in Kenosha, WI