Lisa James, - Medicare Counselor in Oconomowoc, WI

Lisa James, is a medicare enrolled "Counselor - Professional" provider in Oconomowoc, Wisconsin. Her current practice location is 418 E Wisconsin Ave, Oconomowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 429-6403.

Lisa James is licensed to practice in Wisconsin (license number 6555-125) 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 1356805808.

Contact Information

Lisa James,
418 E Wisconsin Ave,
Oconomowoc, WI 53066-3040
(414) 429-6403
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLisa James
GenderFemale
SpecialityCounselor - Professional
Location418 E Wisconsin Ave, Oconomowoc, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356805808
  • Provider Enumeration Date: 01/29/2019
  • Last Update Date: 01/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7810418332
  • Enrollment ID: I20250312002345

Medical Identifiers

Medical identifiers for Lisa James such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356805808NPI-NPPES
463263406OtherWI1477543981

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 6555-125 (Wisconsin)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. Lisa James allows following entities to bill medicare on her behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066

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. Lisa James 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
Lisa James,
1085 Revere Dr,
Oconomowoc, WI 53066-4422

Ph: (414) 429-6403
Lisa James,
418 E Wisconsin Ave,
Oconomowoc, WI 53066-3040

Ph: (414) 429-6403

Reviews and Comments


Counselor in Oconomowoc, WI

Theresa M Kerner, MA, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 405 E Forest St, Oconomowoc, WI 53066
Phone: 262-661-1759    
Ms. M Fay Sanders, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066
Phone: 262-542-3255    Fax: 262-567-5451
Kelly Muston,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1230 Corporate Center Dr, Suite 100, Oconomowoc, WI 53066
Phone: 262-789-1191    
Rose Worden, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066
Phone: 262-569-5515    
Michelle J Damm, LPC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066
Phone: 414-429-6403    
Amanda Donath, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 712 Summit Ave Ste 714, Oconomowoc, WI 53066
Phone: 262-226-2006    Fax: 262-226-2462
Ms. Debra A Adamus, CLINICAL SUBSTANCE A
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066
Phone: 414-429-6403    Fax: 262-354-0794

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.