Clarissa Justmann, in Chilton, WI - Medicare Counselor Provider

Clarissa Justmann, is a medicare enrolled "Counselor - Mental Health" provider in Chilton, Wisconsin. Her current practice location is 206 Court St, Chilton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 849-1400.

Clarissa Justmann is licensed to practice in Wisconsin (license number 10370-125) 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 1669142956.

Contact Information

	Clarissa Justmann,
	206 Court St, Chilton, WI 53014-1127
	(920) 849-1400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clarissa Justmann
Gender	Female
Speciality	Counselor - Mental Health
Location	206 Court St, Chilton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669142956
Provider Enumeration Date: 09/17/2021
Last Update Date: 04/25/2023

Medicare PECOS Information:

PECOS PAC ID: 1557711686
Enrollment ID: I20240102001041

Medical Identifiers

Medical identifiers for Clarissa Justmann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669142956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	10370-125 (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. Clarissa Justmann allows following entities to bill medicare on her behalf.

Entity Name	Calumet County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902898406 PECOS PAC ID: 1254347586 Enrollment ID: O20060223000794

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. Clarissa Justmann 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
Clarissa Justmann, 206 Court St, Chilton, WI 53014-1127 Ph: (920) 849-1400	Clarissa Justmann, 206 Court St, Chilton, WI 53014-1127 Ph: (920) 849-1400

Reviews and Comments

Counselor in Chilton, WI

Miss Shannon K Teska, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468
Dawn Marie Dohr, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468
Megan Schmitt, MA Counselor Medicare: Medicare Enrolled Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468
Ms. Carmen Marie Persaud, LPC CSAC CSIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468
Mr. Timothy J Fale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468
Mr. Dennis E Fischer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468
Mrs. Kristi L Leclair, Counselor Medicare: Medicare Enrolled Practice Location: 206 Court St, Chilton, WI 53014 Phone: 920-849-1400 Fax: 920-849-1468

Clarissa Justmann, - Medicare Counselor in Chilton, WI