Andrea Doherty Lissuzzo, LCSW in River Forest, IL - Medicare Social Worker Provider

Andrea Doherty Lissuzzo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in River Forest, Illinois. Her current practice location is 526 Keystone Ave, River Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 710-2650.

Andrea Doherty Lissuzzo is licensed to practice in Illinois (license number 149.007467) 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 1699375592.

Contact Information

	Andrea Doherty Lissuzzo, LCSW
	526 Keystone Ave, River Forest, IL 60305-1612
	(708) 710-2650
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Andrea Doherty Lissuzzo
Gender	Female
Speciality	Social Worker - Clinical
Location	526 Keystone Ave, River Forest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699375592
Provider Enumeration Date: 10/29/2020
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 9133534688
Enrollment ID: I20230519001186

Medical Identifiers

Medical identifiers for Andrea Doherty Lissuzzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699375592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.007467 (Illinois)	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. Andrea Doherty Lissuzzo allows following entities to bill medicare on her behalf.

Entity Name	Mosaic Counseling And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851065502 PECOS PAC ID: 1355728353 Enrollment ID: O20220512001904

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. Andrea Doherty Lissuzzo 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
Andrea Doherty Lissuzzo, LCSW 526 Keystone Ave, River Forest, IL 60305-1612 Ph: (708) 710-2650	Andrea Doherty Lissuzzo, LCSW 526 Keystone Ave, River Forest, IL 60305-1612 Ph: (708) 710-2650

Reviews and Comments

Social Worker in River Forest, IL

Carol Ann Jabs, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7400 Augusta Street, River Forest, IL 60305 Phone: 708-209-3145 Fax: 708-209-3176
Mrs. Ann Shannon Oconnell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 Ashland Ave, River Forest, IL 60305 Phone: 708-366-5279
Mrs. Amy Allyssa Deegan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7627 Lake St Ste 217, River Forest, IL 60305 Phone: 630-740-4768
Kristin Burns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1115 Thatcher Ave, River Forest, IL 60305 Phone: 312-852-0515
Ms. Bharathi Jayaram, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7627 Lake St Ste 213, River Forest, IL 60305 Phone: 773-209-0880
Brittanie Butler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Forest Ave, River Forest, IL 60305 Phone: 708-488-9258 Fax: 708-488-9261
Megan Seliga, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1140 Jackson Ave, River Forest, IL 60305 Phone: 630-951-1528

Andrea Doherty Lissuzzo, LCSW - Medicare Clinical Social Worker in River Forest, IL