Caley Deloris Mamerow, LPC in Oconomowoc, WI - Medicare Counselor Provider

Caley Deloris Mamerow, LPC is a medicare enrolled "Counselor - Professional" provider in Oconomowoc, Wisconsin. Her current practice location is 1230 Corporate Center Dr Ste 100, Oconomowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 789-1191.

Caley Deloris Mamerow is licensed to practice in Wisconsin (license number 10051-125) 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 1306446430.

Contact Information

	Caley Deloris Mamerow, LPC
	1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883
	(262) 789-1191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Caley Deloris Mamerow
Gender	Female
Speciality	Counselor - Professional
Location	1230 Corporate Center Dr Ste 100, Oconomowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306446430
Provider Enumeration Date: 10/28/2020
Last Update Date: 04/06/2024

Medicare PECOS Information:

PECOS PAC ID: 2668812199
Enrollment ID: I20240501003032

Medical Identifiers

Medical identifiers for Caley Deloris Mamerow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306446430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	10051-125 (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. Caley Deloris Mamerow allows following entities to bill medicare on her behalf.

Entity Name	Abg Wellness Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340

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. Caley Deloris Mamerow 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
Caley Deloris Mamerow, LPC 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 Ph: (262) 370-1540	Caley Deloris Mamerow, LPC 1230 Corporate Center Dr Ste 100, Oconomowoc, WI 53066-4883 Ph: (262) 789-1191

Reviews and Comments

Counselor in Oconomowoc, WI

Theresa M Kerner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 E Forest St, Oconomowoc, WI 53066 Phone: 262-661-1759
Ms. M Fay Sanders, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 888 Thackeray Trl Ste 105, Oconomowoc, WI 53066 Phone: 262-542-3255 Fax: 262-567-5451
Kelly Muston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1230 Corporate Center Dr, Suite 100, Oconomowoc, WI 53066 Phone: 262-789-1191
Rose Worden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36100 Genesee Lake Rd, Oconomowoc, WI 53066 Phone: 262-569-5515
Michelle J Damm, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403
Amanda Donath, LPC Counselor Medicare: Medicare Enrolled Practice Location: 712 Summit Ave Ste 714, Oconomowoc, WI 53066 Phone: 262-226-2006 Fax: 262-226-2462
Ms. Debra A Adamus, CLINICAL SUBSTANCE A Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 E Wisconsin Ave, Oconomowoc, WI 53066 Phone: 414-429-6403 Fax: 262-354-0794

Caley Deloris Mamerow, LPC - Medicare Counselor in Oconomowoc, WI