Lisa Dunham, LCSW in Jefferson, WI - Medicare Social Worker Provider

Lisa Dunham, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jefferson, Wisconsin. Her current practice location is 1541 Annex Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 674-7424.

Lisa Dunham is licensed to practice in Wisconsin (license number 7851-123) 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 1346590452.

Contact Information

	Lisa Dunham, LCSW
	1541 Annex Rd, Jefferson, WI 53549-9803
	(920) 674-7424
	(920) 674-7409

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Dunham
Gender	Female
Speciality	Social Worker - Clinical
Location	1541 Annex Rd, Jefferson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346590452
Provider Enumeration Date: 09/17/2012
Last Update Date: 02/09/2015

Medicare PECOS Information:

PECOS PAC ID: 1254650252
Enrollment ID: I20150424000228

Medical Identifiers

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

Identifier	Type	State	Issuer
1346590452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	7851-123 (Wisconsin)	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. Lisa Dunham allows following entities to bill medicare on her behalf.

Entity Name	Community Service Associates, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251

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 Dunham 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 Dunham, LCSW 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-7424	Lisa Dunham, LCSW 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-7424

Reviews and Comments

Social Worker in Jefferson, WI

Christine Richards-pagel, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Suzanne A Monda, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 104 W Linden Dr Ste A, Jefferson, WI 53549 Phone: 920-674-6688
Ms. Katherine Sue Drechsler, MSW, LCSW-SA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Road, Jefferson, WI 53549 Phone: 920-674-8107
Sara Kay Zwieg, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Michele Bahl, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113
Krystal Ann Fredrick, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105

Lisa Dunham, LCSW - Medicare Clinical Social Worker in Jefferson, WI