Amy Porter, LPC, CSAC - Medicare Counselor in Jefferson, WI

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Amy Porter, LPC, CSAC is a medicare enrolled "Counselor - Professional" provider in Jefferson, Wisconsin. Her current practice location is 1541 Annex Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 674-3105.

Amy Porter is licensed to practice in Wisconsin (license number 6292-125) 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 1295132702.

Contact Information

Amy Porter, LPC, CSAC
1541 Annex Rd,
Jefferson, WI 53549-9803
(920) 674-3105
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameAmy Porter
GenderFemale
SpecialityCounselor - Professional
Location1541 Annex Rd, Jefferson, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295132702
  • Provider Enumeration Date: 11/26/2014
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7416309299
  • Enrollment ID: I20240117002109

Medical Identifiers

Medical identifiers for Amy Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295132702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
101YP2500XCounselor - Professional 6292-125 (Wisconsin)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. Amy Porter allows following entities to bill medicare on her behalf.
Entity NameJefferson County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275614919
PECOS PAC ID: 2264496801
Enrollment ID: O20041115000371
Entity NameHealing Lotus Mental Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245004548
PECOS PAC ID: 8325491038
Enrollment ID: O20240130000959

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. Amy Porter 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 AddressPractice Location Address
Amy Porter, LPC, CSAC
1541 Annex Rd,
Jefferson, WI 53549-9803

Ph: (920) 674-3105		Amy Porter, LPC, CSAC
1541 Annex Rd,
Jefferson, WI 53549-9803

Ph: (920) 674-3105

Reviews and Comments


Counselor in Jefferson, WI

Brittany Long, MS, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1541 Annex Rd, Jefferson, WI 53549
Phone: 920-674-3105    
Amanda Sass, MA, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 1541 Annex Rd, Jefferson, WI 53549
Phone: 920-674-3105    
Kimberly Miller, LCSW, SAC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1541 Annex Rd, Jefferson, WI 53549
Phone: 920-674-3105    
Danielle Graham - Heine,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1541 Annex Rd, Jefferson, WI 53549
Phone: 920-674-3105    Fax: 920-674-6113
Ms. Holly Rae Pagel, MSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 1541 Annex Rd, Jefferson, WI 53549
Phone: 920-674-8108    Fax: 920-674-8114
Mrs. Amanda Rae Lightner, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1541 Annex Rd, Jefferson, WI 53549
Phone: 920-674-8197    Fax: 920-674-6113

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.