Lisa Marie Cole, MA, LPCC, LADC is a medicare enrolled "Behavior Technician" provider in Burnsville, Minnesota. Her current practice location is
14301 Ewing Ave S, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 746-5350.
Lisa Marie Cole is licensed to practice in * (Not Available) (license number ) 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 1114407897.
Healthcare Provider's Profile
Full Name | Lisa Marie Cole |
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Gender | Female |
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Speciality | Behavior Technician |
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Location | 14301 Ewing Ave S, Burnsville, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114407897
- Provider Enumeration Date: 08/21/2018
- Last Update Date: 01/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830546845
- Enrollment ID: I20240124001964
Medical Identifiers
Medical identifiers for Lisa Marie Cole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114407897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 304301 (Minnesota) | Secondary |
101YP2500X | Counselor - Professional | 2281 (Minnesota) | Secondary |
106S00000X | Behavior Technician | (* (Not Available)) | 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 Marie Cole allows following entities to bill medicare on her behalf.
Entity Name | County Of Scott |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841299443 PECOS PAC ID: 4587605225 Enrollment ID: O20050512000752 |
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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. Lisa Marie Cole 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 Marie Cole, MA, LPCC, LADC 14301 Ewing Ave S, Burnsville, MN 55306-4885 Ph: (952) 746-5350 | Lisa Marie Cole, MA, LPCC, LADC 14301 Ewing Ave S, Burnsville, MN 55306-4885 Ph: (952) 746-5350 |
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