Mary T Pauli, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Edgerton, Wisconsin. Her current practice location is
111 W Fulton St, Edgerton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 561-6614.
Mary T Pauli is licensed to practice in Wisconsin (license number 7545-125) 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 1073148656.
Healthcare Provider's Profile
| Full Name | Mary T Pauli |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 111 W Fulton St, Edgerton, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1073148656
- Provider Enumeration Date: 03/04/2020
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547603029
- Enrollment ID: I20240212003662
Medical Identifiers
Medical identifiers for Mary T Pauli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073148656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 180.010034 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 7545-125 (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. Mary T Pauli allows following entities to bill medicare on her behalf.
| Entity Name | Edgerton Hospital And Health Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154350049
PECOS PAC ID: 7719874502
Enrollment ID: O20040304000743 |
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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. Mary T Pauli 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 |
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Mary T Pauli, LCPC
11101 N Sherman Rd,
Edgerton, WI 53534-9002
Ph: (608) 884-3441 | Mary T Pauli, LCPC
111 W Fulton St,
Edgerton, WI 53534-1876
Ph: (608) 561-6614 |
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