Marybeth Banach, MS, LPC in Hartland, WI - Medicare Counselor Provider

Marybeth Banach, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Hartland, Wisconsin. Her current practice location is 510 Hartbrook Dr Ste 201, Hartland, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 853-9084.

Marybeth Banach is licensed to practice in Wisconsin (license number 5687-125) 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 1760861413.

Contact Information

	Marybeth Banach, MS, LPC
	510 Hartbrook Dr Ste 201, Hartland, WI 53029-1444
	(262) 853-9084
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marybeth Banach
Gender	Female
Speciality	Counselor - Professional
Location	510 Hartbrook Dr Ste 201, Hartland, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760861413
Provider Enumeration Date: 05/28/2015
Last Update Date: 05/28/2015

Medicare PECOS Information:

PECOS PAC ID: 7113360033
Enrollment ID: I20240208000051

Medical Identifiers

Medical identifiers for Marybeth Banach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760861413	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	5687-125 (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. Marybeth Banach allows following entities to bill medicare on her behalf.

Entity Name	Family Service Agency Of Waukesha County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568404671 PECOS PAC ID: 0648168823 Enrollment ID: O20040309000638

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. Marybeth Banach 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
Marybeth Banach, MS, LPC 510 Hartbrook Drive, Suite 201, Hartland, WI 53029 Ph: (262) 853-9084	Marybeth Banach, MS, LPC 510 Hartbrook Dr Ste 201, Hartland, WI 53029-1444 Ph: (262) 853-9084

Reviews and Comments

Counselor in Hartland, WI

Karen Young, CADC III, CCS-G Counselor Medicare: Not Enrolled in Medicare Practice Location: 141a Cottonwood Ave, Hartland, WI 53029 Phone: 262-367-5104 Fax: 262-369-9569
Stephanie Hein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 E Capitol Dr Ste 4, Hartland, WI 53029 Phone: 262-912-1209
Mrs. Beth A Mckay, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 Hartbrook Dr Ste 205, Hartland, WI 53029 Phone: 262-236-6410 Fax: 262-201-0622
Ms. Elizabeth Anne Poth, LPC-IT, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Cottonwood Ave, Suite 8, Hartland, WI 53029 Phone: 414-639-2441
Mr. Daniel R Bird, M.S, LPC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Cottonwood Ave Ste 4, Hartland, WI 53029 Phone: 414-587-2473 Fax: 262-781-6603
Elizabeth Thao, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 E Capitol Dr, Suite 5b, Hartland, WI 53029 Phone: 414-688-2678
Prairie Conlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2822 Ridley Rd, Hartland, WI 53029 Phone: 913-375-4934

Marybeth Banach, MS, LPC - Medicare Counselor in Hartland, WI