James Thomas Lipusch, PHD - Medicare Clinical Social Worker in Sheboygan, WI

James Thomas Lipusch, PHD is a medicare enrolled "Social Worker - Clinical" provider in Sheboygan, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Cornerstone Counseling Services Inc and his current practice location is 3425 Superior St, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 458-5557.

James Thomas Lipusch is licensed to practice in Wisconsin (license number 2080123) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548376726.

Contact Information

James Thomas Lipusch, PHD
3425 Superior St,
Sheboygan, WI 53081
(920) 458-5557
(920) 458-2692

Map and Direction




Healthcare Provider's Profile

Full NameJames Thomas Lipusch
GenderMale
SpecialityClinical Social Worker
Experience47 Years
Location3425 Superior St, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Thomas Lipusch attended and graduated from University Of Wisconsin School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1548376726
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5991808933
  • Enrollment ID: I20070313000446

Medical Identifiers

Medical identifiers for James Thomas Lipusch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548376726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 2080123 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cornerstone Counseling Services Inc145625602392

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. James Thomas Lipusch allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameCornerstone Counseling Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033127246
PECOS PAC ID: 1456256023
Enrollment ID: O20031205000446

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. James Thomas Lipusch 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
James Thomas Lipusch, PHD
415 Lake St #501,
Port Washingotn, WI 53074

Ph: (262) 893-6121
James Thomas Lipusch, PHD
3425 Superior St,
Sheboygan, WI 53081

Ph: (920) 458-5557

Reviews and Comments


Social Worker in Sheboygan, WI

Nancy Ellen Koene, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 2801 Calumet Dr, Sheboygan, WI 53083
Phone: 920-451-6908    
Erin Meyer,
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Medicare: Not Enrolled in Medicare
Practice Location: 1721 Saemann Ave, Sheboygan, WI 53081
Phone: 920-783-6633    Fax: 920-783-6392
Mrs. Christine Marie Nett, LCSW
Clinical Social Worker
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Phone: 920-451-6908    Fax: 920-458-6439
Sarah L Casper, LCSW
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Medicare: Medicare Enrolled
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    
Jokasha E Klest, LCSW
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Practice Location: 314 Niagara Ave, Sheboygan, WI 53081
Phone: 920-451-8667    
Mr. John Anthony Daane, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    Fax: 920-459-1483
Mary Kay Howie, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 5934 S Business Dr, Sheboygan, WI 53081
Phone: 920-459-9277    Fax: 920-459-7920

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.