Susan Carol Eisenberg, LCSW in Avon, CT - Medicare Counselor Provider

Susan Carol Eisenberg, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Avon, Connecticut. Her current practice location is 35 E Main St Ste 125, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 325-7344.

Susan Carol Eisenberg is licensed to practice in Connecticut (license number 003196) 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 1013660174.

Contact Information

	Susan Carol Eisenberg, LCSW
	35 E Main St Ste 125, Avon, CT 06001-3845
	(860) 325-7344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Carol Eisenberg
Gender	Female
Speciality	Counselor - Mental Health
Location	35 E Main St Ste 125, Avon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013660174
Provider Enumeration Date: 01/30/2022
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 7113313651
Enrollment ID: I20220408001164

Medical Identifiers

Medical identifiers for Susan Carol Eisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013660174	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	003196 (Connecticut)	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. Susan Carol Eisenberg allows following entities to bill medicare on her behalf.

Entity Name	Authentic-self Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679229769 PECOS PAC ID: 2264828193 Enrollment ID: O20220401001335

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. Susan Carol Eisenberg 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
Susan Carol Eisenberg, LCSW 35 E Main St Ste 125, Avon, CT 06001-3845 Ph: (860) 325-7344	Susan Carol Eisenberg, LCSW 35 E Main St Ste 125, Avon, CT 06001-3845 Ph: (860) 325-7344

Reviews and Comments

Counselor in Avon, CT

Brittaney A Melaragno, Counselor Medicare: Not Enrolled in Medicare Practice Location: 41 Scarborough Dr, Avon, CT 06001 Phone: 860-986-4324
Jeanne Candace Folks, D.MIN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Old Farms Rd, Avon, CT 06001 Phone: 860-678-8779
Anna Poltorak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Avon Meadow Ln Bldg 40, Avon, CT 06001 Phone: 860-325-0305
Mrs. Linda Valera, LPC Counselor Medicare: Medicare Enrolled Practice Location: 46 W Avon Rd Ste 202, Avon, CT 06001 Phone: 860-673-0145
Heather Leigh Black, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Lakeview Blvd, Avon, CT 06001 Phone: 860-559-6543
Douglas Lampert, LPC Counselor Medicare: Medicare Enrolled Practice Location: 35 Tower Ln, Avon, CT 06001 Phone: 860-284-0048

Susan Carol Eisenberg, LCSW - Medicare Counselor in Avon, CT