Elizabeth G Wallner, LCPC in Kittery, ME - Medicare Counselor Provider

Elizabeth G Wallner, LCPC is a medicare enrolled "Counselor - Professional" provider in Kittery, Maine. Her current practice location is 453 Us Route 1, Kittery, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 451-1750.

Elizabeth G Wallner is licensed to practice in Maine (license number CC3943) 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 1457581548.

Contact Information

	Elizabeth G Wallner, LCPC
	453 Us Route 1, Kittery, ME 03904-5513
	(207) 451-1750
	(207) 439-4360

Map and Direction

Healthcare Provider's Profile

Full Name	Elizabeth G Wallner
Gender	Female
Speciality	Counselor - Professional
Location	453 Us Route 1, Kittery, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457581548
Provider Enumeration Date: 07/23/2009
Last Update Date: 11/05/2012

Medicare PECOS Information:

PECOS PAC ID: 5092168583
Enrollment ID: I20240131004408

Medical Identifiers

Medical identifiers for Elizabeth G Wallner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457581548	NPI	-	NPPES
434383199	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC3943 (Maine)	Primary
101YM0800X	Counselor - Mental Health	CC3943 (Maine)	Secondary

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. Elizabeth G Wallner allows following entities to bill medicare on her behalf.

Entity Name	Mindful Soul Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023617578 PECOS PAC ID: 4183077670 Enrollment ID: O20240131004327

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. Elizabeth G Wallner 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
Elizabeth G Wallner, LCPC 78 Atlantic Pl, South Portland, ME 04106-2316 Ph: (207) 842-7701	Elizabeth G Wallner, LCPC 453 Us Route 1, Kittery, ME 03904-5513 Ph: (207) 451-1750

Reviews and Comments

Counselor in Kittery, ME

Kristen Stout, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Us Route 1, Kittery, ME 03904 Phone: 207-451-1750 Fax: 207-439-4360
Ms. Kathryn Driscoll, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 35 Mill Pond Rd, Kittery, ME 03904 Phone: 603-436-2372
Julie A. Barker-hubbard, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Us Route 1, Kittery, ME 03904 Phone: 207-451-1750 Fax: 207-439-4360
Meryl S Wein, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Us Route 1, Kittery, ME 03904 Phone: 207-439-8391 Fax: 207-439-4360
Mrs. Beverly Anne Conant, MA LPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 Route 1, Suite 2, Kittery, ME 03904 Phone: 281-961-0807 Fax: 603-522-3312
Nicole Tuzinski, CCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 State Rd, Kittery, ME 03904 Phone: 207-854-1030 Fax: 207-899-4623

Elizabeth G Wallner, LCPC - Medicare Counselor in Kittery, ME