John J Lisy Jr, LISW is a medicare enrolled "Social Worker - Clinical" provider in Westlake, Ohio. His current practice location is
24500 Center Ridge Rd Ste 110, Westlake, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 787-6311.
John J Lisy Jr is licensed to practice in Ohio (license number I0000993) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144921677.
Healthcare Provider's Profile
| Full Name | John J Lisy Jr |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 24500 Center Ridge Rd Ste 110, Westlake, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144921677
- Provider Enumeration Date: 03/13/2023
- Last Update Date: 03/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5395108831
- Enrollment ID: I20230830003522
Medical Identifiers
Medical identifiers for John J Lisy Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144921677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | E0000387 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I0000993 (Ohio) | 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. John J Lisy Jr allows following entities to bill medicare on his behalf.
| Entity Name | Tree Of Life Counseling And Training Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902320203
PECOS PAC ID: 0547623084
Enrollment ID: O20230830003215 |
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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. John J Lisy Jr 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 |
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John J Lisy Jr, LISW
2419 Derbyshire Rd,
Cleveland Hts, OH 44106-2725
Ph: () - | John J Lisy Jr, LISW
24500 Center Ridge Rd Ste 110,
Westlake, OH 44145-5604
Ph: (440) 787-6311 |
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