Ms Lisa Marie Blaken-miller, LPC is a medicare enrolled "Counselor - Mental Health" provider in Melrose, Wisconsin. Her current practice location is
N9710 State Hwy 108, Melrose, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 386-1086.
Ms Lisa Marie Blaken-miller is licensed to practice in Wisconsin (license number 3289125) 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 1073724233.
Healthcare Provider's Profile
Full Name | Ms Lisa Marie Blaken-miller |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | N9710 State Hwy 108, Melrose, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073724233
- Provider Enumeration Date: 05/26/2007
- Last Update Date: 10/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 3072035583
- Enrollment ID: I20250313001989
Medical Identifiers
Medical identifiers for Ms Lisa Marie Blaken-miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073724233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 3289125 (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. Ms Lisa Marie Blaken-miller allows following entities to bill medicare on her behalf.
Entity Name | Peace Of Mind Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861837692 PECOS PAC ID: 6305190166 Enrollment ID: O20181114000157 |
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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. Ms Lisa Marie Blaken-miller 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 Marie Blaken-miller, LPC N9710 State Hwy 108, Melrose, WI 54642-8258 Ph: (608) 386-1086 | Ms Lisa Marie Blaken-miller, LPC N9710 State Hwy 108, Melrose, WI 54642-8258 Ph: (608) 386-1086 |
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