Ms Lisa Kay Gustafson, MS/LCPC in Ottawa, IL - Medicare Mental Health Counselor Provider

Ms Lisa Kay Gustafson, MS/LCPC is a medicare enrolled "Counselor - Professional" provider in Ottawa, Illinois. She graduated from healthcare school in 1997 and has 28 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Mendota Community Hospital and her current practice location is 424 W Madison St, Ottawa, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 431-3022.

Ms Lisa Kay Gustafson is licensed to practice in Illinois (license number 180.004529) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962666875.

Contact Information

	Ms Lisa Kay Gustafson, MS/LCPC
	424 W Madison St, Ottawa, IL 61350-2833
	(815) 431-3022
	(815) 433-3980

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lisa Kay Gustafson
Gender	Female
Speciality	Mental Health Counselor
Experience	28 Years
Location	424 W Madison St, Ottawa, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Lisa Kay Gustafson graduated from medical school in 1997

NPI Data:

NPI Number: 1962666875
Provider Enumeration Date: 07/10/2008
Last Update Date: 07/10/2008

Medicare PECOS Information:

PECOS PAC ID: 5799215950
Enrollment ID: I20250204001705

Medical Identifiers

Medical identifiers for Ms Lisa Kay Gustafson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962666875	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.004529 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mendota Community Hospital	2264335777	48

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 Lisa Kay Gustafson allows following entities to bill medicare on her behalf.

Entity Name	Mendota Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102

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 Lisa Kay Gustafson 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
Ms Lisa Kay Gustafson, MS/LCPC 424 W Madison St, Ottawa, IL 61350-2833 Ph: (815) 431-3022	Ms Lisa Kay Gustafson, MS/LCPC 424 W Madison St, Ottawa, IL 61350-2833 Ph: (815) 431-3022

Reviews and Comments

Counselor in Ottawa, IL

Kaitlyn Rinke, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 727 E Etna Rd, Ottawa, IL 61350 Phone: 815-434-4727
Kristina Thrush, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 815-324-2719 Fax: 630-703-1845
Ms. Carol Ruth Buckner, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 E Norris Drive, Ottawa, IL 61350 Phone: 815-434-4382 Fax: 815-431-5528
Ashley Holcman, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 La Salle St, Ottawa, IL 61350 Phone: 630-708-0197
Nina Renee Miller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 747 E Etna Rd, Ottawa, IL 61350 Phone: 815-993-1614
Whitney Nicole Flach, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 W Main St, Ottawa, IL 61350 Phone: 815-326-9502
Melinda Vesely, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 W Main St, Ottawa, IL 61350 Phone: 815-326-9502 Fax: 815-324-5102

Ms Lisa Kay Gustafson, MS/LCPC - Medicare Counselor in Ottawa, IL