Lisa Marie Wooley, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Huntington, Indiana. She graduated from medical school in 1998 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Live Heal Grow Counseling Services and her current practice location is
2860 Northpark Ave, Huntington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(260) 356-2875.
Lisa Marie Wooley is licensed to practice in Indiana (license number 20041473A) 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 1891785192.
Healthcare Provider's Profile
| Full Name | Lisa Marie Wooley |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 28 Years |
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| Location | 2860 Northpark Ave, Huntington, Indiana |
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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:
- Lisa Marie Wooley graduated from medical school in 1998
NPI Data:
- NPI Number: 1891785192
- Provider Enumeration Date: 10/27/2005
- Last Update Date: 12/20/2010
Medicare PECOS Information:
- PECOS PAC ID: 8729267331
- Enrollment ID: I20110128000520
Medical Identifiers
Medical identifiers for Lisa Marie Wooley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891785192 | NPI | - | NPPES |
| 200235550A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 20041473A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Live Heal Grow Counseling Services | 0547665325 | 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. Lisa Marie Wooley allows following entities to bill medicare on her behalf.
| Entity Name | Bowen Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853 |
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| Entity Name | Live Heal Grow Counseling Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780274712 PECOS PAC ID: 0547665325 Enrollment ID: O20210817001171 |
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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. Lisa Marie Wooley 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 |
Lisa Marie Wooley, PSYD, HSPP 850 N Harrison St, Warsaw, IN 46580-3163 Ph: (574) 267-7169 | Lisa Marie Wooley, PSYD, HSPP 2860 Northpark Ave, Huntington, IN 46750-9700 Ph: (260) 356-2875 |
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