Lisa C Broll, LPC in Elkhorn, WI - Medicare Counselor Provider

Lisa C Broll, LPC is a medicare enrolled "Counselor" provider in Elkhorn, Wisconsin. Her current practice location is 1910 County Road Nn, Elkhorn, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 741-3200.

Lisa C Broll is licensed to practice in Wisconsin (license number 2978-125) 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 1821141730.

Contact Information

	Lisa C Broll, LPC
	1910 County Road Nn, Elkhorn, WI 53121-4454
	(262) 741-3200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa C Broll
Gender	Female
Speciality	Counselor
Location	1910 County Road Nn, Elkhorn, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821141730
Provider Enumeration Date: 01/22/2007
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 3779921606
Enrollment ID: I20240410003184

Medical Identifiers

Medical identifiers for Lisa C Broll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821141730	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	2978-125 (Wisconsin)	Primary
101YM0800X	Counselor - Mental Health	2978-125 (Wisconsin)	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. Lisa C Broll allows following entities to bill medicare on her behalf.

Entity Name	County Of Walworth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588733307 PECOS PAC ID: 6002872835 Enrollment ID: O20041203000437

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. Lisa C Broll 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
Lisa C Broll, LPC Po Box 1005, Elkhorn, WI 53121-1005 Ph: () -	Lisa C Broll, LPC 1910 County Road Nn, Elkhorn, WI 53121-4454 Ph: (262) 741-3200

Reviews and Comments

Counselor in Elkhorn, WI

Jacquelyn Rupnik, LPC-WI-4813-125 Counselor Medicare: Medicare Enrolled Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200
Mrs. Bonnie L Connolly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Credence Therapy Associates, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308
Linda Flahive Hornak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: W4063 Hwy Nn, Elkhorn, WI 53121 Phone: 262-741-1440 Fax: 262-743-2221
Mark Weitkum, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 797 E Geneva St, Elkhorn, WI 53121 Phone: 262-723-1455 Fax: 262-723-1556
Catherine L Griffith, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217
Julie Valler, MS, LPC, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: W4051 County Road Nn, Elkhorn, WI 53121 Phone: 262-741-3200 Fax: 262-741-3217
Timothy Swanson, MS, LCPC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 1/2 W Geneva St, Elkhorn, WI 53121 Phone: 262-723-3424 Fax: 262-723-8308

Lisa C Broll, LPC - Medicare Counselor in Elkhorn, WI