Kelsey Sustarsic, LPCC in Mukwonago, WI - Medicare Counselor Provider

Kelsey Sustarsic, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Mukwonago, Wisconsin. Her current practice location is S77w30705 Mosher Dr, Mukwonago, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (216) 570-9680.

Kelsey Sustarsic is licensed to practice in Ohio (license number E.2001669) 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 1891229522.

Contact Information

	Kelsey Sustarsic, LPCC
	S77w30705 Mosher Dr, Mukwonago, WI 53149-8860
	(216) 570-9680
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Sustarsic
Gender	Female
Speciality	Counselor - Mental Health
Location	S77w30705 Mosher Dr, Mukwonago, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891229522
Provider Enumeration Date: 04/19/2017
Last Update Date: 06/04/2025

Medicare PECOS Information:

PECOS PAC ID: 9931631413
Enrollment ID: I20241022004079

Medical Identifiers

Medical identifiers for Kelsey Sustarsic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891229522	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	C.1500367 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	E.2001669 (Ohio)	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. Kelsey Sustarsic allows following entities to bill medicare on her behalf.

Entity Name	Live Well Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932860178 PECOS PAC ID: 6305378886 Enrollment ID: O20241022003731

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. Kelsey Sustarsic 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
Kelsey Sustarsic, LPCC S77w30705 Mosher Dr, Mukwonago, WI 53149-8860 Ph: (216) 570-9680	Kelsey Sustarsic, LPCC S77w30705 Mosher Dr, Mukwonago, WI 53149-8860 Ph: (216) 570-9680

Reviews and Comments

Counselor in Mukwonago, WI

Mr. Jacob M Mecca-guillien, SAC-IT, LPC Counselor Medicare: Medicare Enrolled Practice Location: 400 Bay View Rd Ste C, Mukwonago, WI 53149 Phone: 622-789-1191
Katherine Diane Collins, LCSW 06/13-18 Counselor Medicare: Medicare Enrolled Practice Location: 400 Bay View Rd Ste C, Mukwonago, WI 53149 Phone: 262-789-1191 Fax: 262-363-7289
Melanie Anne Morgan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Bay View Rd Ste 4, Mukwonago, WI 53149 Phone: 262-542-3255
Katrina M Tarke-karge, BA, MA Counselor Medicare: Medicare Enrolled Practice Location: 400 Bay View Rd Ste C, Mukwonago, WI 53149 Phone: 262-789-1191
Mr. Charles Peter Koenings, LCSW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: W247s10395 Center Dr, Mukwonago, WI 53149 Phone: 262-662-5900 Fax: 262-662-5688
Mrs. Megan M. Lamster, M.A., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: W247s10395 Center Dr, Mukwonago, WI 53149 Phone: 262-662-5900
Ms. Stephanie L Coates-mcfeeley, M.S., LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 400 Bay View Rd Ste C, Mukwonago, WI 53149 Phone: 262-789-1191

Kelsey Sustarsic, LPCC - Medicare Counselor in Mukwonago, WI