Dr Lisa Marie King, PSYD, MSW, LP, CAP is a medicare enrolled "Psychologist - Clinical" provider in Naples, Florida. Her current practice location is
950 6th Ave N, Naples, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 659-2345.
Dr Lisa Marie King is licensed to practice in Florida (license number PY9434) 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 1043359193.
Healthcare Provider's Profile
| Full Name | Dr Lisa Marie King |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 950 6th Ave N, Naples, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043359193
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 11/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 4789781733
- Enrollment ID: I20160414001094
Medical Identifiers
Medical identifiers for Dr Lisa Marie King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043359193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801078040 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6801078040 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801078040 (Michigan) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY9434 (Florida) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PY9434 (Florida) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | PY9434 (Florida) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 010141-2015 (Florida) | 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. Dr Lisa Marie King allows following entities to bill medicare on her behalf.
| Entity Name | Florida Health Professions Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932125556
PECOS PAC ID: 3274526876
Enrollment ID: O20040407001697 |
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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. Dr Lisa Marie King 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 |
|---|
Dr Lisa Marie King, PSYD, MSW, LP, CAP
950 6th Ave N,
Naples, FL 34102-5633
Ph: (239) 659-2345 | Dr Lisa Marie King, PSYD, MSW, LP, CAP
950 6th Ave N,
Naples, FL 34102-5633
Ph: (239) 659-2345 |
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