Susan Wise, LPC in Creve Coeur, MO - Medicare Counselor Provider

Susan Wise, LPC is a medicare enrolled "Counselor - Professional" provider in Creve Coeur, Missouri. Her current practice location is 711 Old Ballas Rd., Suite 203, Creve Coeur, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 569-2253.

Susan Wise is licensed to practice in Missouri (license number 000510) 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 1912353715.

Contact Information

	Susan Wise, LPC
	711 Old Ballas Rd., Suite 203, Creve Coeur, MO 63141
	(314) 569-2253
	(314) 569-2280

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Wise
Gender	Female
Speciality	Counselor - Professional
Location	711 Old Ballas Rd., Creve Coeur, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912353715
Provider Enumeration Date: 05/11/2016
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6103263322
Enrollment ID: I20240325000531

Medical Identifiers

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

Identifier	Type	State	Issuer
1912353715	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	000510 (Missouri)	Secondary
101YP2500X	Counselor - Professional	000510 (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. Susan Wise allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210721003011

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440

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 Wise 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 Wise, LPC 711 Old Ballas Rd., Suite 203, Creve Coeur, MO 63141 Ph: (314) 569-2253	Susan Wise, LPC 711 Old Ballas Rd., Suite 203, Creve Coeur, MO 63141 Ph: (314) 569-2253

Reviews and Comments

Counselor in Creve Coeur, MO

Tim Gravier, LPC Counselor Medicare: Medicare Enrolled Practice Location: 770 Aramis Dr, Creve Coeur, MO 63141 Phone: 314-807-4880
Ms. Marla Kaye Wallace, M.A., PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 967 Gardenview Office Pkwy, Creve Coeur, MO 63141 Phone: 314-561-9757
Mrs. Karen Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 Craig Rd, Suite 318, Creve Coeur, MO 63141 Phone: 314-717-0360
Ms. Vatel Arre Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12647 Olive Blvd Ste 200, Creve Coeur, MO 63141 Phone: 314-469-4908
Evonne Weinhaus, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 662 N New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-499-9144 Fax: 314-499-9188
Craig F Politte, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 Craig Rd, Suite 318, Creve Coeur, MO 63141 Phone: 314-720-8730
Christine Marie Underwood Elder, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 967 Gardenview Office Pkwy, Creve Coeur, MO 63141 Phone: 314-561-9757

Susan Wise, LPC - Medicare Counselor in Creve Coeur, MO