Lisa Chase-miller, in Fairborn, OH - Medicare Counselor Provider

Lisa Chase-miller, is a medicare enrolled "Counselor - Professional" provider in Fairborn, Ohio. Her current practice location is 302 W Main St, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 281-4673.

Lisa Chase-miller is licensed to practice in Ohio (license number LICDC.162339) 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 1134898117.

Contact Information

	Lisa Chase-miller,
	302 W Main St, Fairborn, OH 45324-5037
	(937) 281-4673
	(937) 318-1120

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Chase-miller
Gender	Female
Speciality	Counselor - Professional
Location	302 W Main St, Fairborn, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134898117
Provider Enumeration Date: 09/13/2021
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7113450669
Enrollment ID: I20241023001259

Medical Identifiers

Medical identifiers for Lisa Chase-miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134898117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CDCA.181870 (Ohio)	Secondary
101YP2500X	Counselor - Professional	LICDC.162339 (Ohio)	Primary
101YM0800X	Counselor - Mental Health	C.2204582 (Ohio)	Secondary
101YM0800X	Counselor - Mental Health	C.2103320-TRNE (Ohio)	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 Chase-miller allows following entities to bill medicare on her behalf.

Entity Name	Decoach Team Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366992224 PECOS PAC ID: 7517244551 Enrollment ID: O20170501001472

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 Chase-miller 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 Chase-miller, 100 Crowne Point Pl, Cincinnati, OH 45241-5427 Ph: (513) 743-7628	Lisa Chase-miller, 302 W Main St, Fairborn, OH 45324-5037 Ph: (937) 281-4673

Reviews and Comments

Counselor in Fairborn, OH

Sonia M Rapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-262-3508 Fax: 937-318-8918
Tyshawna Frazer-new, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Laguna Ct Unit 206, Fairborn, OH 45324 Phone: 937-532-8624
Jason Keating, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1082 Whitetail Dr, Fairborn, OH 45324 Phone: 614-787-3247
Sophia Alridge, BS, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 Phone: 937-701-6631
Mrs. Heidi K Bruner, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1016 Rainbow Ct, Fairborn, OH 45324 Phone: 937-641-3401
Jordan Rebecca Shavers, BA, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-405-1743

Lisa Chase-miller, - Medicare Counselor in Fairborn, OH