Marisa Phillips, MS, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Rawlins, Wyoming. Her current practice location is
2100 E Cedar St Ofc J, Rawlins, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 349-5627.
Marisa Phillips is licensed to practice in Wyoming (license number 307) 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 1144816398.
Healthcare Provider's Profile
| Full Name | Marisa Phillips |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 2100 E Cedar St Ofc J, Rawlins, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144816398
- Provider Enumeration Date: 12/11/2020
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961854070
- Enrollment ID: I20240113000444
Medical Identifiers
Medical identifiers for Marisa Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144816398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 307 (Wyoming) | Primary |
| 101YP2500X | Counselor - Professional | 301 (Wyoming) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Marisa Phillips allows following entities to bill medicare on her behalf.
| Entity Name | High Country Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457472748
PECOS PAC ID: 0648454587
Enrollment ID: O20110418000512 |
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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. Marisa Phillips 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 |
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Marisa Phillips, MS, LMFT
2222 Cutty Sark Blvd,
Rawlins, WY 82301-4227
Ph: (307) 349-5627 | Marisa Phillips, MS, LMFT
2100 E Cedar St Ofc J,
Rawlins, WY 82301-6029
Ph: (307) 349-5627 |
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