Lisbeth Gannon, LPC in Madison, CT - Medicare Counselor Provider

Lisbeth Gannon, LPC is a medicare enrolled "Counselor - Professional" provider in Madison, Connecticut. Her current practice location is 147 Durham Rd Ste 13, Madison, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 575-8700.

Lisbeth Gannon is licensed to practice in Connecticut (license number 002159) 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 1669744991.

Contact Information

	Lisbeth Gannon, LPC
	147 Durham Rd Ste 13, Madison, CT 06443-2678
	(860) 575-8700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisbeth Gannon
Gender	Female
Speciality	Counselor - Professional
Location	147 Durham Rd Ste 13, Madison, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669744991
Provider Enumeration Date: 02/02/2012
Last Update Date: 06/26/2025

Medicare PECOS Information:

PECOS PAC ID: 3577915966
Enrollment ID: I20240122002797

Medical Identifiers

Medical identifiers for Lisbeth Gannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669744991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	002159 (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. Lisbeth Gannon 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. Lisbeth Gannon 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
Lisbeth Gannon, LPC 446 Evergreen Ave, Hamden, CT 06518-2406 Ph: (860) 575-8700	Lisbeth Gannon, LPC 147 Durham Rd Ste 13, Madison, CT 06443-2678 Ph: (860) 575-8700

Reviews and Comments

Counselor in Madison, CT

Ryan Shook, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 147 Durham Rd, Madison, CT 06443 Phone: 860-238-3632
Tracie L Bush, M.A., CKPMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 Country Way, Madison, CT 06443 Phone: 203-848-7169
Kristina Fitch, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Durham Rd, Madison, CT 06443 Phone: 203-738-9306
Lucy Kaitlyn Faulkner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 17a Woodland Rd, Madison, CT 06443 Phone: 203-779-5490
Joyce Gendler, LPC, REAT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 School St, Madison, CT 06443 Phone: 203-245-5645
Mrs. Marjorie Adler, MS COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 School St, Madison, CT 06443 Phone: 203-245-5645 Fax: 203-245-5648
Ms. Elizabeth M Strazar, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Wall St, Madison, CT 06443 Phone: 201-290-8609

Lisbeth Gannon, LPC - Medicare Counselor in Madison, CT