Madeline Slack, LPC in Marysville, OH - Medicare Counselor Provider

Madeline Slack, LPC is a medicare enrolled "Counselor - Professional" provider in Marysville, Ohio. Her current practice location is 104 N Main St, Marysville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 537-5100.

Madeline Slack is licensed to practice in Ohio (license number E.2001693-SUPV) 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 1457860850.

Contact Information

	Madeline Slack, LPC
	104 N Main St, Marysville, OH 43040-1106
	(937) 537-5100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madeline Slack
Gender	Female
Speciality	Counselor - Professional
Location	104 N Main St, Marysville, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457860850
Provider Enumeration Date: 09/28/2017
Last Update Date: 03/17/2024

Medicare PECOS Information:

PECOS PAC ID: 5193178572
Enrollment ID: I20240201002475

Medical Identifiers

Medical identifiers for Madeline Slack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457860850	NPI	-	NPPES
0266106	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.2001693-SUPV (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. Madeline Slack allows following entities to bill medicare on her behalf.

Entity Name	Lighthouse Behavioral Health Solutions, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896

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. Madeline Slack 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
Madeline Slack, LPC 446 Morgan St, Cincinnati, OH 45206-2348 Ph: (513) 834-7063	Madeline Slack, LPC 104 N Main St, Marysville, OH 43040-1106 Ph: (937) 537-5100

Reviews and Comments

Counselor in Marysville, OH

Shelley Anne Soviak, LISW Counselor Medicare: Accepting Medicare Assignments Practice Location: 453 Allenby Dr, Marysville, OH 43040 Phone: 937-642-0048 Fax: 937-642-1316
Dr. Lisa M Huelskamp, PHD, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14981 Gandy Eddy Rd, Marysville, OH 43040 Phone: 614-371-5000
Christopher Scott Franke, P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 16503 Square Dr, Marysville, OH 43040 Phone: 937-645-9074
Danah-madison T Reda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 S Plum St, Marysville, OH 43040 Phone: 937-644-9192
Cheyenne Holton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 729 S Walnut St, Marysville, OH 43040 Phone: 937-642-9555
Ms. Susan L. Mcdannald, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Allenby Dr, Marysville, OH 43040 Phone: 937-642-0048
Jacqueline Alexis Hatten, LPCC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 453 Allenby Dr, Marysville, OH 43040 Phone: 937-642-0048 Fax: 937-642-1316

Madeline Slack, LPC - Medicare Counselor in Marysville, OH