Judith Dissell Balcezak, LPC in Torrington, CT

Judith Dissell Balcezak, LPC is a medicare enrolled "Counselor" provider in Torrington, Connecticut. Her current practice location is 132 Grove St., Torrington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 482-5558.

Judith Dissell Balcezak is licensed to practice in Connecticut (license number 2885) 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 1770723702.

Contact Information

	Judith Dissell Balcezak, LPC
	132 Grove St., Torrington, CT 06790
	(860) 482-5558
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Judith Dissell Balcezak
Gender	Female
Speciality	Counselor
Location	132 Grove St., Torrington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770723702
Provider Enumeration Date: 03/04/2009
Last Update Date: 07/10/2014

Medicare PECOS Information:

PECOS PAC ID: 2668994419
Enrollment ID: I20250320003646

Medical Identifiers

Medical identifiers for Judith Dissell Balcezak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770723702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101Y00000X	Counselor	2885 (Connecticut)	Primary

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. Judith Dissell Balcezak allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081

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. Judith Dissell Balcezak 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
Judith Dissell Balcezak, LPC 132 Grove St., Torrington, CT 06790 Ph: (860) 482-5558	Judith Dissell Balcezak, LPC 132 Grove St., Torrington, CT 06790 Ph: (860) 482-5558

Reviews and Comments

Counselor in Torrington, CT

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Mrs. Gracie Elizabeth Driscoll, CHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Northridge Ave, Torrington, CT 06790 Phone: 860-480-1363
Jennie Irene Santa Maria, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391

Judith Dissell Balcezak, LPC - Medicare Counselor in Torrington, CT