Lisa Marie Nelson, LPC in Bristol, CT - Medicare Counselor Provider

Lisa Marie Nelson, LPC is a medicare enrolled "Counselor - Professional" provider in Bristol, Connecticut. Her current practice location is 839 Farmington Ave, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 582-8167.

Lisa Marie Nelson is licensed to practice in Connecticut (license number 002578) 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 1063880581.

Contact Information

	Lisa Marie Nelson, LPC
	839 Farmington Ave, Bristol, CT 06010
	(860) 582-8167
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Marie Nelson
Gender	Female
Speciality	Counselor - Professional
Location	839 Farmington Ave, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063880581
Provider Enumeration Date: 09/15/2015
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 7012354368
Enrollment ID: I20240321002553

Medical Identifiers

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

Identifier	Type	State	Issuer
1063880581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	002578 (Connecticut)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Marie Nelson allows following entities to bill medicare on her behalf.

Entity Name	Bristol Hospital Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619901642 PECOS PAC ID: 9739084096 Enrollment ID: O20040426001533

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 Nelson 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 Nelson, LPC 651 Lake Ave Unit 23, Bristol, CT 06010-8438 Ph: (860) 518-0876	Lisa Marie Nelson, LPC 839 Farmington Ave, Bristol, CT 06010 Ph: (860) 582-8167

Reviews and Comments

Counselor in Bristol, CT

Audrey Krawiec, MS Counselor Medicare: Medicare Enrolled Practice Location: 1098 Farmington Ave, Bristol, CT 06010 Phone: 860-589-6433 Fax: 860-589-6442
Ms. Tammy Parker, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Edward St, Bristol, CT 06010 Phone: 860-585-8200 Fax: 860-585-8200
Mr. Warren Corson Iv, Counselor Medicare: Not Enrolled in Medicare Practice Location: 489 Wolcott St, 39, Bristol, CT 06010 Phone: 860-543-2384
Jennifer Quagliano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 888-793-3500
Emily Marie Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St Ste 106, Bristol, CT 06010 Phone: 888-793-3500
Emily C Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 860-793-3500

Lisa Marie Nelson, LPC - Medicare Counselor in Bristol, CT