Lisa S Dierdorf, LPC in Ballwin, MO - Medicare Counselor Provider

Lisa S Dierdorf, LPC is a medicare enrolled "Counselor - Professional" provider in Ballwin, Missouri. Her current practice location is 301 Sovereign Ct Ste 211, Ballwin, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 346-1132.

Lisa S Dierdorf is licensed to practice in Missouri (license number 2015019936) 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 1568047769.

Contact Information

	Lisa S Dierdorf, LPC
	301 Sovereign Ct Ste 211, Ballwin, MO 63011-4435
	(636) 346-1132
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa S Dierdorf
Gender	Female
Speciality	Counselor - Professional
Location	301 Sovereign Ct Ste 211, Ballwin, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568047769
Provider Enumeration Date: 03/10/2021
Last Update Date: 08/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2567805773
Enrollment ID: I20240205002439

Medical Identifiers

Medical identifiers for Lisa S Dierdorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568047769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2015019936 (Missouri)	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 S Dierdorf allows following entities to bill medicare on her behalf.

Entity Name	St. Louis Behavioral Medicine Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487732335 PECOS PAC ID: 3173428638 Enrollment ID: O20031223000497

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 S Dierdorf 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
Lisa S Dierdorf, LPC 301 Sovereign Ct Ste 211, Ballwin, MO 63011-4435 Ph: (636) 346-1132	Lisa S Dierdorf, LPC 301 Sovereign Ct Ste 211, Ballwin, MO 63011-4435 Ph: (636) 346-1132

Reviews and Comments

Counselor in Ballwin, MO

Dr. Deborah Schwartz Miller, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Sovereign Ct, Suite 211, Ballwin, MO 63011 Phone: 636-527-5051
Mrs. Karen L Memhardt, MAED PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 930 Kehrs Mill Rd, Suite 325-1, Ballwin, MO 63011 Phone: 314-614-5079
Mrs. Pagina Ana Brown, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13610 Barrett Office Dr Ste 108, Ballwin, MO 63021 Phone: 314-596-8858
Ms. Denise Marie Labarge, RN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13610 Barrett Office Dr, Ballwin, MO 63021 Phone: 314-503-5497
Anna Lisa Jensen, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Sovereign Ct, Suite 211, Ballwin, MO 63011 Phone: 314-422-9924
Aron Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 Miremont Dr, Ballwin, MO 63011 Phone: 314-401-7107
Mrs. Angela Lee Skurtu, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13610 Barrett Office Drive Suite 214, St. Louis Marriage Therapy, Angela Skurtu, Ballwin, MO 63021 Phone: 314-973-7997

Lisa S Dierdorf, LPC - Medicare Counselor in Ballwin, MO