Lisa Michelle Ellenburg, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Winona, Minnesota. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Hiawatha Valley Mental Health Center Inc and her current practice location is
420 E Sarnia St, Winona, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 453-6226.
Lisa Michelle Ellenburg is licensed to practice in Minnesota (license number 30822) 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 1922886779.
Healthcare Provider's Profile
| Full Name | Lisa Michelle Ellenburg |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 420 E Sarnia St, Winona, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lisa Michelle Ellenburg graduated from medical school in 2021
NPI Data:
- NPI Number: 1922886779
- Provider Enumeration Date: 09/21/2023
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759737778
- Enrollment ID: I20231027001266
Medical Identifiers
Medical identifiers for Lisa Michelle Ellenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922886779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 30822 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 30822 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hiawatha Valley Mental Health Center Inc | 7113026998 | 23 |
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 Michelle Ellenburg allows following entities to bill medicare on her behalf.
| Entity Name | Hiawatha Valley Mental Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184606337
PECOS PAC ID: 7113026998
Enrollment ID: O20070619000625 |
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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 Michelle Ellenburg 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 |
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Lisa Michelle Ellenburg, LICSW
368 W Wabasha St,
Winona, MN 55987-5201
Ph: (507) 429-1967 | Lisa Michelle Ellenburg, LICSW
420 E Sarnia St,
Winona, MN 55987-6365
Ph: (507) 453-6226 |
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