Lisa Wagner, MSE in Neenah, WI - Medicare Counselor Provider

Lisa Wagner, MSE is a medicare enrolled "Counselor - Professional" provider in Neenah, Wisconsin. Her current practice location is 1136 Westowne Dr, Neenah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 456-2030.

Lisa Wagner is licensed to practice in Wisconsin (license number 7208) 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 1407270465.

Contact Information

	Lisa Wagner, MSE
	1136 Westowne Dr, Neenah, WI 54956-2175
	(920) 456-2030
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Wagner
Gender	Female
Speciality	Counselor - Professional
Location	1136 Westowne Dr, Neenah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407270465
Provider Enumeration Date: 02/12/2014
Last Update Date: 07/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1355792979
Enrollment ID: I20240109000472

Medical Identifiers

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

Identifier	Type	State	Issuer
1407270465	NPI	-	NPPES
100084556	Medicaid	WI
1407270465	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YM0800X	Counselor - Mental Health	7208 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	7208-125 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	7208 (Wisconsin)	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 Wagner allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Wagner 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 Wagner, MSE Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 456-2030	Lisa Wagner, MSE 1136 Westowne Dr, Neenah, WI 54956-2175 Ph: (920) 456-2030

Reviews and Comments

Counselor in Neenah, WI

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Hannah Elizabeth Episcopo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jewelers Park Dr, Suite 200, Neenah, WI 54956 Phone: 920-809-4070
Christine M Hansen, MS LCSW SAC LPC Counselor Medicare: Medicare Enrolled Practice Location: 333 N Green Bay Rd, Neenah, WI 54956 Phone: 920-720-2300 Fax: 920-720-3719
Heidi Paessler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1509 S Commercial St, Neenah, WI 54956 Phone: 920-722-8150

Lisa Wagner, MSE - Medicare Counselor in Neenah, WI