Christa Liseno, PSYD in Canandaigua, NY - Medicare Psychologist Provider

Christa Liseno, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Canandaigua, New York. Her current practice location is 3180 West St, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at (585) 394-1442.

Christa Liseno is licensed to practice in New York (license number 019161-1) 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 1942588058.

Contact Information

	Christa Liseno, PSYD
	3180 West St, Canandaigua, NY 14424-1722
	(585) 394-1442
	(585) 394-1257

Map and Direction

Healthcare Provider's Profile

Full Name	Christa Liseno
Gender	Female
Speciality	Psychologist - Clinical
Location	3180 West St, Canandaigua, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942588058
Provider Enumeration Date: 07/25/2011
Last Update Date: 04/23/2019

Medicare PECOS Information:

PECOS PAC ID: 8022341353
Enrollment ID: I20190531000609

Medical Identifiers

Medical identifiers for Christa Liseno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942588058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	019161-1 (New York)	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. Christa Liseno allows following entities to bill medicare on her behalf.

Entity Name	State Of New York Comptrollers Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800

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. Christa Liseno 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
Christa Liseno, PSYD 3180 West St, Canandaigua, NY 14424-1722 Ph: (585) 394-1442	Christa Liseno, PSYD 3180 West St, Canandaigua, NY 14424-1722 Ph: (585) 394-1442

Reviews and Comments

Psychologist in Canandaigua, NY

Cynthia Poole, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257
Dr. Sarah Donovan, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5151 Fieldstone Trl, Canandaigua, NY 14424 Phone: 518-428-7430
Ms. Alysse Daansen Foster, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5415 County Road 30, Canandaigua, NY 14424 Phone: 585-394-1190
Caroline Pierpont Payne, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 42 North Main Street, Canandaigua, NY 12180 Phone: 585-919-0018 Fax: 585-393-0014
Diane Carol Hahn, Psychologist Medicare: Medicare Enrolled Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442
Kimberley Mullen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-393-7613
Kathleen Lewandowski, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3180 West St, Canandaigua, NY 14424 Phone: 585-394-1442 Fax: 585-394-1257

Christa Liseno, PSYD - Medicare Psychologist in Canandaigua, NY