Ms Lisa Michelle Mcculloch, LPC in Chesterfield, MO

Ms Lisa Michelle Mcculloch, LPC is a medicare enrolled "Counselor" provider in Chesterfield, Missouri. Her current practice location is 14377 Woodlake Dr, Suite 308, Chesterfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 576-6493.

Ms Lisa Michelle Mcculloch is licensed to practice in Missouri (license number 2001004734) 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 1649246935.

Contact Information

	Ms Lisa Michelle Mcculloch, LPC
	14377 Woodlake Dr, Suite 308, Chesterfield, MO 63017
	(314) 576-6493
	(314) 576-7319

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Lisa Michelle Mcculloch
Gender	Female
Speciality	Counselor
Location	14377 Woodlake Dr, Chesterfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649246935
Provider Enumeration Date: 02/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830614973
Enrollment ID: I20250422000242

Medical Identifiers

Medical identifiers for Ms Lisa Michelle Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649246935	NPI	-	NPPES
691209	Other	MO	HEALTHLINK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	2001004734 (Missouri)	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 Michelle Mcculloch allows following entities to bill medicare on her behalf.

Entity Name	Midwest Trauma Recovery Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033677257 PECOS PAC ID: 6103155916 Enrollment ID: O20190904000530

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 Michelle Mcculloch 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 Michelle Mcculloch, LPC 1222 Dunloe Road, Ballwin, MO 63021 Ph: (636) 207-1391	Ms Lisa Michelle Mcculloch, LPC 14377 Woodlake Dr, Suite 308, Chesterfield, MO 63017 Ph: (314) 576-6493

Reviews and Comments

Counselor in Chesterfield, MO

Timothy Joseph Dalaviras, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15235 Brightfield Manor Dr, Chesterfield, MO 63017 Phone: 636-537-5440
Mrs. Erin Elizabeth Mcbride, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17300 N. Outer 40 Rd., Ste 212, Chesterfield, MO 63005 Phone: 314-645-6840
Mr. Thomas Bryon Lewis, M.ED LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14377 Woodlake Dr, Ste 308, Chesterfield, MO 63017 Phone: 314-576-6493 Fax: 314-576-7319
Mrs. Durre S Mumtaz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1214 Devonworth Dr, Chesterfield, MO 63017 Phone: 314-753-3153
Richard Hinchsliff, MAC, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15063 Clayton Rd, Chesterfield, MO 63017 Phone: 636-779-0312
John Easterling, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15063 Clayton Rd, Chesterfield, MO 63017 Phone: 636-394-7015
Peyton Henke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15455 Conway Rd Ste 100, Chesterfield, MO 63017 Phone: 636-675-7566

Ms Lisa Michelle Mcculloch, LPC - Medicare Counselor in Chesterfield, MO