Lisa Koffler, LCSW in Roselle, IL - Medicare Social Worker Provider

Lisa Koffler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Roselle, Illinois. Her current practice location is 975 E Nerge Rd Ste S100, Roselle, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 545-0630.

Lisa Koffler is licensed to practice in Illinois (license number 149.022486) 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 1184220774.

Contact Information

	Lisa Koffler, LCSW
	975 E Nerge Rd Ste S100, Roselle, IL 60172-4828
	(847) 545-0630
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Koffler
Gender	Female
Speciality	Social Worker - Clinical
Location	975 E Nerge Rd Ste S100, Roselle, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184220774
Provider Enumeration Date: 12/08/2020
Last Update Date: 03/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7214341684
Enrollment ID: I20210126001107

Medical Identifiers

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

Identifier	Type	State	Issuer
1184220774	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.022486 (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. Lisa Koffler allows following entities to bill medicare on her behalf.

Entity Name	Kari Sandy Counseling Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609310523 PECOS PAC ID: 4082979059 Enrollment ID: O20180521003227

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 Koffler 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 Koffler, LCSW 853 Voyager Dr, Bartlett, IL 60103-4738 Ph: (859) 630-7892	Lisa Koffler, LCSW 975 E Nerge Rd Ste S100, Roselle, IL 60172-4828 Ph: (847) 545-0630

Reviews and Comments

Social Worker in Roselle, IL

Gwen P Ames, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 E Irving Park Rd, Suite 201, Roselle, IL 60172 Phone: 630-229-9940
Mr. Boyd Steven Callahan, M.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 701 E Irving Park Rd, Ste 305, Roselle, IL 60172 Phone: 630-529-1644 Fax: 630-529-1792
Carolyn Westerberg Callahan, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 E Irving Park Rd, Suite 305, Roselle, IL 60172 Phone: 847-529-1644
Mrs. Nancy Lee Gillies, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1350 Lake St, Unit 1f, Roselle, IL 60172 Phone: 630-346-1399
Sherry Delisle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 Ashbury Ln W, Roselle, IL 60172 Phone: 847-691-7113 Fax: 630-230-7479
Jacqueline Marie Shelton-espinosa, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 400 W Lake St, Suite 208, Roselle, IL 60172 Phone: 630-464-8890 Fax: 630-529-1113

Lisa Koffler, LCSW - Medicare Clinical Social Worker in Roselle, IL