Lisa Blackwell, in Canton, OH - Medicare Counselor Provider

Lisa Blackwell, is a medicare enrolled "Counselor - Professional" provider in Canton, Ohio. Her current practice location is 3745 Whipple Ave Nw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 915-4854.

Lisa Blackwell is licensed to practice in Ohio (license number E.2303356) 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 1659974756.

Contact Information

	Lisa Blackwell,
	3745 Whipple Ave Nw, Canton, OH 44718-4805
	(330) 915-4854
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Blackwell
Gender	Female
Speciality	Counselor - Professional
Location	3745 Whipple Ave Nw, Canton, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659974756
Provider Enumeration Date: 11/19/2020
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0042662892
Enrollment ID: I20240117004348

Medical Identifiers

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

Identifier	Type	State	Issuer
1659974756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.2303356 (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. Lisa Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Avo Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619590882 PECOS PAC ID: 6406265735 Enrollment ID: O20210517001970

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 Blackwell 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 Blackwell, 3745 Whipple Ave Nw, Canton, OH 44718-4805 Ph: (330) 915-4854	Lisa Blackwell, 3745 Whipple Ave Nw, Canton, OH 44718-4805 Ph: (330) 915-4854

Reviews and Comments

Counselor in Canton, OH

Joseph N Lockett, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Amy Nelson, CT, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252
Hillary A Whiteman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-453-6716
Brendan Rowe, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907
Obiageri Ebere Ngwaogu, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4655
Kelli N Mann, PCC Counselor Medicare: Medicare Enrolled Practice Location: 3745 Whipple Ave Nw Ste A, Canton, OH 44718 Phone: 330-331-7506
Zakree Buccitelli, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4522 Fulton Dr Nw, Canton, OH 44718 Phone: 330-915-2907

Lisa Blackwell, - Medicare Counselor in Canton, OH