Katlin Nicole Liss, LIMHP, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Lincoln, Nebraska. Her current practice location is
9100 Andermatt Dr Ste 1, Lincoln, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 434-2730.
Katlin Nicole Liss is licensed to practice in Nebraska (license number 3247) 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 1346812633.
Healthcare Provider's Profile
Full Name | Katlin Nicole Liss |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 9100 Andermatt Dr Ste 1, Lincoln, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346812633
- Provider Enumeration Date: 07/15/2021
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103357835
- Enrollment ID: I20241004000813
Medical Identifiers
Medical identifiers for Katlin Nicole Liss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346812633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2220 (Nebraska) | Secondary |
101YM0800X | Counselor - Mental Health | 3247 (Nebraska) | 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. Katlin Nicole Liss allows following entities to bill medicare on her behalf.
Entity Name | Pine Lake Behavioral Health, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003310061 PECOS PAC ID: 7810250164 Enrollment ID: O20180418003008 |
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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. Katlin Nicole Liss 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 |
Katlin Nicole Liss, LIMHP, LICSW 9100 Andermatt Dr Ste 1, Lincoln, NE 68526-6700 Ph: (402) 434-2730 | Katlin Nicole Liss, LIMHP, LICSW 9100 Andermatt Dr Ste 1, Lincoln, NE 68526-6700 Ph: (402) 434-2730 |
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