Carmen Sperle, LPC - Medicare Counselor in Stoughton, WI

Carmen Sperle, LPC is a medicare enrolled "Counselor - Professional" provider in Stoughton, Wisconsin. She graduated from healthcare school in 2014 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice 212 Psychotherapy Llc and her current practice location is 3436 County Road A, Stoughton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 215-2018.

Carmen Sperle is licensed to practice in Wisconsin (license number 7196-125) 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 1487311452.

Contact Information

Carmen Sperle, LPC
3436 County Road A,
Stoughton, WI 53589-3906
(608) 215-2018
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameCarmen Sperle
GenderFemale
SpecialityMental Health Counselor
Experience11 Years
Location3436 County Road A, Stoughton, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carmen Sperle graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1487311452
  • Provider Enumeration Date: 11/24/2021
  • Last Update Date: 11/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971948928
  • Enrollment ID: I20240229000640

Medical Identifiers

Medical identifiers for Carmen Sperle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487311452NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 7196-125 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
212 Psychotherapy Llc92345478292

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. Carmen Sperle allows following entities to bill medicare on her behalf.
Entity Name212 Psychotherapy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053941666
PECOS PAC ID: 9234547829
Enrollment ID: O20210420002439

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. Carmen Sperle 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 AddressPractice Location Address
Carmen Sperle, LPC
3436 County Road A,
Stoughton, WI 53589-3906

Ph: (608) 215-2018
Carmen Sperle, LPC
3436 County Road A,
Stoughton, WI 53589-3906

Ph: (608) 215-2018

Reviews and Comments


Counselor in Stoughton, WI

Krystal Lee Webb,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589
Phone: 920-723-3994    
Jennifer Betters-bubon, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 127 E Prospect St, Stoughton, WI 53589
Phone: 608-347-1367    
Ms. Jean A Daute, MS LPC CSAC ICS MAC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 135 W Main St, Suite 207, Stoughton, WI 53589
Phone: 608-873-7838    Fax: 877-674-2177
Veronica M Ellingworth, MS, LPC, SAC, ICS
Counselor
Medicare: May Accept Medicare Assignments
Practice Location: 100 Business Park Cir Ste 202, Stoughton, WI 53589
Phone: 608-695-0960    
Gabrielle Elise Montana, LPC, SAC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589
Phone: 608-873-7838    
Jeani M Oppeneer, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 118 N Madison St, Stoughton, WI 53589
Phone: 608-235-9625    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.