Diane Lissfelt, LMSW, ACSW, CAC-1 is a medicare enrolled "Social Worker" provider in Cheboygan, Michigan. She graduated from healthcare school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
6948 N Black River Rd, Cheboygan, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 625-9937.
Diane Lissfelt is licensed to practice in Michigan (license number 6801066875) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124176995.
Healthcare Provider's Profile
| Full Name | Diane Lissfelt |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 32 Years |
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| Location | 6948 N Black River Rd, Cheboygan, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Diane Lissfelt graduated from medical school in 1992
NPI Data:
- NPI Number: 1124176995
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9436143369
- Enrollment ID: I20040413000704
Medical Identifiers
Medical identifiers for Diane Lissfelt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124176995 | NPI | - | NPPES |
| 220128 | Other | MI | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1-03082 (Michigan) | Primary |
| 104100000X | Social Worker | 6801066875 (Michigan) | Primary |
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. Diane Lissfelt 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 |
|---|
Diane Lissfelt, LMSW, ACSW, CAC-1
16231 Nipigon Rd,
Cheboygan, MI 49721-9341
Ph: (231) 420-0245 | Diane Lissfelt, LMSW, ACSW, CAC-1
6948 N Black River Rd,
Cheboygan, MI 49721-9521
Ph: (231) 625-9937 |
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