Lisa Perlock, LPCC in Burnsville, MN - Medicare Counselor Provider

Lisa Perlock, LPCC is a medicare enrolled "Counselor - Professional" provider in Burnsville, Minnesota. Her current practice location is 14300 Nicollet Ct Ste 130, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 435-8814.

Lisa Perlock is licensed to practice in Minnesota (license number CC00660) 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 1417386764.

Contact Information

	Lisa Perlock, LPCC
	14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422
	(952) 435-8814
	(952) 435-7705

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa Perlock
Gender	Female
Speciality	Counselor - Professional
Location	14300 Nicollet Ct Ste 130, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417386764
Provider Enumeration Date: 11/07/2013
Last Update Date: 05/15/2015

Medicare PECOS Information:

PECOS PAC ID: 1759732977
Enrollment ID: I20240327003588

Medical Identifiers

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

Identifier	Type	State	Issuer
1417386764	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC00660 (Minnesota)	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 Perlock allows following entities to bill medicare on her behalf.

Entity Name	Midwest Center For Personal & Family Development, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285730903 PECOS PAC ID: 3173436185 Enrollment ID: O20031106000433

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 Perlock 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 Perlock, LPCC 14300 Nicollet Ct, Suite 130, Burnsville, MN 55306-4501 Ph: (952) 435-8814	Lisa Perlock, LPCC 14300 Nicollet Ct Ste 130, Burnsville, MN 55306-3422 Ph: (952) 435-8814

Reviews and Comments

Counselor in Burnsville, MN

Carmen G Love, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3000 County Road 42 W, Burnsville, MN 55337 Phone: 612-701-5562
Elliott James Bosak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 427 West Travelers Trail, Burnsville Mn, 55337, 427 West Travelers Trail, Burnsville Mn, 55337, Burnsville, MN 55337 Phone: 952-247-2954
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John Gawboy, Counselor Medicare: Medicare Enrolled Practice Location: 1751 Southcross Dr W, Burnsville, MN 55306 Phone: 952-892-7690
Molly Catherine Shields-englin, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1713 Southcross Dr W, Burnsville, MN 55306 Phone: 612-242-7517
Donna Louise Martin-wallace, LPCC, LADC, ADCR-MN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2970 Judicial Rd Ste 100, Burnsville, MN 55337 Phone: 952-224-8990 Fax: 952-224-8991
Bridget Mozina, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14591 Grand Ave Ste 206, Burnsville, MN 55306 Phone: 612-699-3300 Fax: 612-699-4400

Lisa Perlock, LPCC - Medicare Counselor in Burnsville, MN