Lisa Marie Young, is a medicare enrolled "Counselor - Mental Health" provider in Palm Bay, Florida. Her current practice location is
3270 Fresno Ave Se, Palm Bay, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 591-4551.
Lisa Marie Young is licensed to practice in Florida (license number SW10096) 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 1972170926.
Healthcare Provider's Profile
| Full Name | Lisa Marie Young |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 3270 Fresno Ave Se, Palm Bay, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972170926
- Provider Enumeration Date: 06/08/2021
- Last Update Date: 08/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325427362
- Enrollment ID: I20220621002926
Medical Identifiers
Medical identifiers for Lisa Marie Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972170926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | SW10096 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW10096 (Florida) | 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 Marie Young allows following entities to bill medicare on her behalf.
| Entity Name | Mcr Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
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| Entity Name | Balanced Wellbeing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587 |
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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 Marie Young 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 Marie Young, 3270 Fresno Ave Se, Palm Bay, FL 32909-8348 Ph: (321) 591-4551 | Lisa Marie Young, 3270 Fresno Ave Se, Palm Bay, FL 32909-8348 Ph: (321) 591-4551 |
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