Ms Catrina Duncan, LPC - Medicare Counselor in Elm Grove, WI

Ms Catrina Duncan, LPC is a medicare enrolled "Counselor - Mental Health" provider in Elm Grove, Wisconsin. Her current practice location is 12970 W Bluemound Rd Ste 304, Elm Grove, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 302-1233.

Ms Catrina Duncan is licensed to practice in Texas (license number 88755) 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 1629586607.

Contact Information

Ms Catrina Duncan, LPC
12970 W Bluemound Rd Ste 304,
Elm Grove, WI 53122-2607
(414) 302-1233
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Catrina Duncan
GenderFemale
SpecialityCounselor - Mental Health
Location12970 W Bluemound Rd Ste 304, Elm Grove, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629586607
  • Provider Enumeration Date: 01/12/2018
  • Last Update Date: 05/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113449463
  • Enrollment ID: I20250317002373

Medical Identifiers

Medical identifiers for Ms Catrina Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629586607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 88755 (Texas)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. Ms Catrina Duncan allows following entities to bill medicare on her behalf.
Entity NameThe Gulf Coast Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245285899
PECOS PAC ID: 6204821895
Enrollment ID: O20040414001641

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. Ms Catrina Duncan 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
Ms Catrina Duncan, LPC
9618 Madison Ave,
Texas City, TX 77591-1630

Ph: (414) 491-0765
Ms Catrina Duncan, LPC
12970 W Bluemound Rd Ste 304,
Elm Grove, WI 53122-2607

Ph: (414) 302-1233

Reviews and Comments


Counselor in Elm Grove, WI

Dr. Ivanna M Richardson, EDD LMFT LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12970 W Bluemound Rd, #105, Elm Grove, WI 53122
Phone: 262-787-2907    
Mr. Leslie Harold Prausa, LPC, CADC III
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12425 Knoll Rd, Suite 110, Elm Grove, WI 53122
Phone: 262-780-9788    Fax: 262-432-0045
Jessica Sullivan, LPC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 925 Elm Grove Rd Ste 303, Elm Grove, WI 53122
Phone: 414-375-9314    
Jacqueline Lee Landers, MSW LCSW CSAC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 700 Pilgrim Pkwy Ste 203, Elm Grove, WI 53122
Phone: 262-408-0588    Fax: 262-599-8119
Nancy Winston, LPC-IT
Counselor
Medicare: Medicare Enrolled
Practice Location: 15285 Watertown Plank Rd, Elm Grove, WI 53122
Phone: 262-797-2818    Fax: 262-797-2814
Stephanie Hein,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 15330 Watertown Plank Rd Ste 5, Elm Grove, WI 53122
Phone: 262-328-6332    
Coleen Rae Kittleson, LPC, NCC
Counselor
Medicare: Medicare Enrolled
Practice Location: 12970 W Bluemound Rd, 308, Elm Grove, WI 53122
Phone: 262-780-1020    Fax: 262-780-1022

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.