Angela Dellise, LPC, CSAC, CS-IT in Mount Pleasant, WI

Angela Dellise, LPC, CSAC, CS-IT is a medicare enrolled "Counselor - Professional" provider in Mount Pleasant, Wisconsin. Her current practice location is 6233 Durand Ave, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 554-8165.

Angela Dellise is licensed to practice in Wisconsin (license number 5385-125) 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 1164718151.

Contact Information

	Angela Dellise, LPC, CSAC, CS-IT
	6233 Durand Ave, Mount Pleasant, WI 53406-4961
	(262) 554-8165
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angela Dellise
Gender	Female
Speciality	Counselor - Professional
Location	6233 Durand Ave, Mount Pleasant, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164718151
Provider Enumeration Date: 06/28/2011
Last Update Date: 08/26/2014

Medicare PECOS Information:

PECOS PAC ID: 2163874819
Enrollment ID: I20240117004662

Medical Identifiers

Medical identifiers for Angela Dellise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164718151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5385-125 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	16057-130 (Wisconsin)	Secondary

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. Angela Dellise allows following entities to bill medicare on her behalf.

Entity Name	Professional Services Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742

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. Angela Dellise 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
Angela Dellise, LPC, CSAC, CS-IT 3900 W Brown Deer Rd, Suite 200, Brown Deer, WI 53209-1220 Ph: (414) 540-2170	Angela Dellise, LPC, CSAC, CS-IT 6233 Durand Ave, Mount Pleasant, WI 53406-4961 Ph: (262) 554-8165

Reviews and Comments

Counselor in Mount Pleasant, WI

Sophia Elizabeth Prater, ATR, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 3805b Spring St Ste 340, Mount Pleasant, WI 53405 Phone: 262-687-2222
Ms. Julia D Wells, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8800 Washington Ave Ste 100, Mount Pleasant, WI 53406 Phone: 262-633-3591 Fax: 262-633-2619
Lateasha Nicole, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5735 Durand Ave, Mount Pleasant, WI 53406 Phone: 262-598-1392
Michelle Valentina May, LPCIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave Ste 103, Mount Pleasant, WI 53406 Phone: 262-456-4056 Fax: 262-456-4911
Sophia Grace Torosian, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8800 Washington Ave Ste 300, Mount Pleasant, WI 53406 Phone: 262-633-3501
Mr. Ricky A Person Sr., CSAC. ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4810 Northwestern Ave, Mount Pleasant, WI 53406 Phone: 262-583-2714
Derek Alcala, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8800 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-633-3591 Fax: 262-633-2619

Angela Dellise, LPC, CSAC, CS-IT - Medicare Counselor in Mount Pleasant, WI