Miss Lisa Beth Courchaine, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Wisconsin. She graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Prairie Ridge Health Inc and her current practice location is
1515 Park Ave, Columbus, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 623-2200.
Miss Lisa Beth Courchaine is licensed to practice in Wisconsin (license number 8428-123) 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 1851725626.
Healthcare Provider's Profile
| Full Name | Miss Lisa Beth Courchaine |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 12 Years |
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| Location | 1515 Park Ave, Columbus, Wisconsin |
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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:
- Miss Lisa Beth Courchaine graduated from medical school in 2013
NPI Data:
- NPI Number: 1851725626
- Provider Enumeration Date: 08/28/2013
- Last Update Date: 05/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597008102
- Enrollment ID: I20190523000458
Medical Identifiers
Medical identifiers for Miss Lisa Beth Courchaine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851725626 | NPI | - | NPPES |
| 100032648 | Medicaid | WI | |
| 8428-123 | Other | WI | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 8428-123 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Prairie Ridge Health Inc | 6800791484 | 58 |
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. Miss Lisa Beth Courchaine allows following entities to bill medicare on her behalf.
| Entity Name | Prairie Ridge Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154403657
PECOS PAC ID: 6800791484
Enrollment ID: O20040210000777 |
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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. Miss Lisa Beth Courchaine 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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Miss Lisa Beth Courchaine, LCSW
1515 Park Ave,
Columbus, WI 53925-2402
Ph: (920) 623-2200 | Miss Lisa Beth Courchaine, LCSW
1515 Park Ave,
Columbus, WI 53925-2402
Ph: (920) 623-2200 |
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