Dr Lisa Marie Tonnessen, PHD in Groton, CT - Medicare Counselor Provider

Dr Lisa Marie Tonnessen, PHD is a medicare enrolled "Counselor - Professional" provider in Groton, Connecticut. Her current practice location is 616 Goldstar Hgwy, Shoreline Counseling, Groton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 449-0200.

Dr Lisa Marie Tonnessen is licensed to practice in Connecticut (license number 000387) 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 1083713119.

Contact Information

	Dr Lisa Marie Tonnessen, PHD
	616 Goldstar Hgwy, Shoreline Counseling, Groton, CT 06340
	(860) 449-0200
	(860) 449-1954

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lisa Marie Tonnessen
Gender	Female
Speciality	Counselor - Professional
Location	616 Goldstar Hgwy, Groton, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083713119
Provider Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0345692703
Enrollment ID: I20240122001841

Medical Identifiers

Medical identifiers for Dr Lisa Marie Tonnessen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083713119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	000387 (Connecticut)	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. Dr Lisa Marie Tonnessen allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Behavioral Health Assoc, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629158126 PECOS PAC ID: 4385532373 Enrollment ID: O20040310000567

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. Dr Lisa Marie Tonnessen 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
Dr Lisa Marie Tonnessen, PHD 616 Goldstar Hgwy, Shoreline Counseling, Groton, CT 06340 Ph: (860) 449-0200	Dr Lisa Marie Tonnessen, PHD 616 Goldstar Hgwy, Shoreline Counseling, Groton, CT 06340 Ph: (860) 449-0200

Reviews and Comments

Counselor in Groton, CT

Michael John Formica, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Ms. Susannah Jane Forte Stahr, MS, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 591 Poquonnock Rd, Groton, CT 06340 Phone: 860-449-8217 Fax: 860-449-8323
Dr. F. Henry Doran, D.MIN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954
Ms. Jessica M Gagnon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 428 Long Hill Rd Ste 201, Groton, CT 06340 Phone: 860-705-2840
Rachel Marie Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611a Long Hill Rd, Groton, CT 06340 Phone: 860-405-8097 Fax: 860-572-4986
Mrs. Nancy Vail Anstrom, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Goldstar Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954

Dr Lisa Marie Tonnessen, PHD - Medicare Counselor in Groton, CT