Dr Misty Marie Christensen, PSYD is a medicare enrolled "Counselor - Professional" provider in Milwaukee, Wisconsin. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Lighthouse Clinic Llc and her current practice location is
2524 E Webster Pl, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 964-9200.
Dr Misty Marie Christensen is licensed to practice in Wisconsin (license number 8639-125) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275047367.
Healthcare Provider's Profile
| Full Name | Dr Misty Marie Christensen |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 16 Years |
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| Location | 2524 E Webster Pl, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Misty Marie Christensen graduated from medical school in 2009
NPI Data:
- NPI Number: 1275047367
- Provider Enumeration Date: 11/28/2017
- Last Update Date: 09/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800234410
- Enrollment ID: I20240402001768
Medical Identifiers
Medical identifiers for Dr Misty Marie Christensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275047367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 8639-125 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Lighthouse Clinic Llc | 4385826502 | 11 |
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. Dr Misty Marie Christensen allows following entities to bill medicare on her behalf.
| Entity Name | Lighthouse Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912216219 PECOS PAC ID: 4385826502 Enrollment ID: O20110309000822 |
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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. Dr Misty Marie Christensen 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 |
Dr Misty Marie Christensen, PSYD 3008 N Farwell Ave, Milwaukee, WI 53211-3306 Ph: () - | Dr Misty Marie Christensen, PSYD 2524 E Webster Pl, Milwaukee, WI 53211-4256 Ph: (414) 964-9200 |
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