Sophia Elizabeth Prater, ATR, LPC, CSAC - Medicare Counselor in Mount Pleasant, WI

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Sophia Elizabeth Prater, ATR, LPC, CSAC is a medicare enrolled "Counselor - Professional" provider in Mount Pleasant, Wisconsin. Her current practice location is 3805b Spring St Ste 340, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 687-2222.

Sophia Elizabeth Prater is licensed to practice in Wisconsin (license number 3042-226) 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 1003354002.

Contact Information

Sophia Elizabeth Prater, ATR, LPC, CSAC
3805b Spring St Ste 340,
Mount Pleasant, WI 53405-1644
(262) 687-2222
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSophia Elizabeth Prater
GenderFemale
SpecialityCounselor - Professional
Location3805b Spring St Ste 340, Mount Pleasant, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003354002
  • Provider Enumeration Date: 02/09/2017
  • Last Update Date: 01/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274983978
  • Enrollment ID: I20231221000067

Medical Identifiers

Medical identifiers for Sophia Elizabeth Prater such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003354002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 16619-132 (Wisconsin)Secondary
101YP2500XCounselor - Professional 7215-125 (Wisconsin)Secondary
101YP2500XCounselor - Professional 3042-226 (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. Sophia Elizabeth Prater allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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. Sophia Elizabeth Prater 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
Sophia Elizabeth Prater, ATR, LPC, CSAC
3805 Spring St,
Mount Pleasant, WI 53405-1667

Ph: () -		Sophia Elizabeth Prater, ATR, LPC, CSAC
3805b Spring St Ste 340,
Mount Pleasant, WI 53405-1644

Ph: (262) 687-2222

Reviews and Comments


Counselor in Mount Pleasant, WI

Ms. Julia D Wells, MS LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8800 Washington Ave Ste 100, Mount Pleasant, WI 53406
Phone: 262-633-3591    Fax: 262-633-2619
Lateasha Nicole, SAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5735 Durand Ave, Mount Pleasant, WI 53406
Phone: 262-598-1392    
Michelle Valentina May, LPCIT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6233 Durand Ave Ste 103, Mount Pleasant, WI 53406
Phone: 262-456-4056    Fax: 262-456-4911
Sophia Grace Torosian, LPC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8800 Washington Ave Ste 300, Mount Pleasant, WI 53406
Phone: 262-633-3501    
Mr. Ricky A Person Sr., CSAC. ICS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4810 Northwestern Ave, Mount Pleasant, WI 53406
Phone: 262-583-2714    
Derek Alcala,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8800 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-633-3591    Fax: 262-633-2619

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.