Mary T Pauli, LCPC in Beloit, WI - Medicare Counselor Provider

Mary T Pauli, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Beloit, Wisconsin. Her current practice location is 136 W Grand Ave Ste 250, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 346-8315.

Mary T Pauli is licensed to practice in Wisconsin (license number 7545-125) 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 1073148656.

Contact Information

	Mary T Pauli, LCPC
	136 W Grand Ave Ste 250, Beloit, WI 53511-6273
	(608) 346-8315
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary T Pauli
Gender	Female
Speciality	Counselor - Mental Health
Location	136 W Grand Ave Ste 250, Beloit, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073148656
Provider Enumeration Date: 03/04/2020
Last Update Date: 03/04/2020

Medicare PECOS Information:

PECOS PAC ID: 0547603029
Enrollment ID: I20240212003662

Medical Identifiers

Medical identifiers for Mary T Pauli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073148656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	180.010034 (Illinois)	Secondary
101YM0800X	Counselor - Mental Health	7545-125 (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. Mary T Pauli allows following entities to bill medicare on her behalf.

Entity Name	Edgerton Hospital And Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20040304000743

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. Mary T Pauli 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
Mary T Pauli, LCPC 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 Ph: (608) 346-8315	Mary T Pauli, LCPC 136 W Grand Ave Ste 250, Beloit, WI 53511-6273 Ph: (608) 346-8315

Reviews and Comments

Counselor in Beloit, WI

Mr. Gregory Arthur Ammon, LPC MS NCC Counselor Medicare: Medicare Enrolled Practice Location: 1969 W Hart Road, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756
Rhonda S Doherty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Cetner, Beloit, WI 53511 Phone: 608-363-6200
Mr. Haven Macgregor Mcclure, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511 Phone: 815-276-4432 Fax: 608-713-9040
Mrs. Sally J Greer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756
Sarah Jane Petersen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 540 E Grand Ave, Beloit, WI 53511 Phone: 608-368-8087
Mrs. Cristina Lynne Kroeze, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Counseling Care Center, Beloit, WI 53511 Phone: 608-364-5686

Mary T Pauli, LCPC - Medicare Counselor in Beloit, WI