Lisa Blackwell, - Medicare Counselor in Canton, OH

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Lisa Blackwell, is a medicare enrolled "Counselor - Professional" provider in Canton, Ohio. Her current practice location is 4105 Fulton Dr Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 438-0790.

Lisa Blackwell is licensed to practice in Ohio (license number E.2303356) 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 1659974756.

Contact Information

Lisa Blackwell,
4105 Fulton Dr Nw,
Canton, OH 44718-2819
(216) 438-0790
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameLisa Blackwell
GenderFemale
SpecialityCounselor - Professional
Location4105 Fulton Dr Nw, Canton, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659974756
  • Provider Enumeration Date: 11/19/2020
  • Last Update Date: 09/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0042662892
  • Enrollment ID: I20240117004348

Medical Identifiers

Medical identifiers for Lisa Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659974756NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional E.2303356 (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. Lisa Blackwell allows following entities to bill medicare on her behalf.
Entity NameAvo Behavioral Health LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619590882
PECOS PAC ID: 6406265735
Enrollment ID: O20210517001970
Entity NameGrow Healthcare Group PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000326

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 Blackwell 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 Blackwell,
4105 Fulton Dr Nw,
Canton, OH 44718-2819

Ph: (216) 438-0790		Lisa Blackwell,
4105 Fulton Dr Nw,
Canton, OH 44718-2819

Ph: (216) 438-0790

Reviews and Comments


Counselor in Canton, OH

Joseph N Lockett, LICDC
Counselor
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Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    Fax: 330-453-6716
Amy Nelson, CT, CDCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    
Hillary A Whiteman,
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Medicare: Not Enrolled in Medicare
Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    Fax: 330-453-6716
Brendan Rowe, LPCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 624 Market Ave N, Canton, OH 44702
Phone: 330-493-4553    Fax: 330-493-3761
Obiageri Ebere Ngwaogu, CT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1341 Market Ave N, Canton, OH 44714
Phone: 330-453-8252    Fax: 330-452-4655
Alexis Gibbs, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718
Phone: 330-915-2907    Fax: 330-915-2958
Kilee Shawd-sopko, CT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718
Phone: 330-915-2907    Fax: 330-915-2958

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.