Matthew Lee Velissaris, in Milwaukee, WI - Medicare Counselor Provider

Matthew Lee Velissaris, is a medicare enrolled "Counselor" provider in Milwaukee, Wisconsin. His current practice location is 4001 W Capitol Dr, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 759-5193.

Matthew Lee Velissaris is licensed to practice in Wisconsin (license number 1942-226) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013341221.

Contact Information

	Matthew Lee Velissaris,
	4001 W Capitol Dr, Milwaukee, WI 53216-2530
	(414) 759-5193
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Lee Velissaris
Gender	Male
Speciality	Counselor
Location	4001 W Capitol Dr, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013341221
Provider Enumeration Date: 08/23/2013
Last Update Date: 06/09/2014

Medicare PECOS Information:

PECOS PAC ID: 3577904093
Enrollment ID: I20240515003024

Medical Identifiers

Medical identifiers for Matthew Lee Velissaris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013341221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	1942-226 (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. Matthew Lee Velissaris allows following entities to bill medicare on his behalf.

Entity Name	Abg Wellness Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184087389 PECOS PAC ID: 0345536785 Enrollment ID: O20160909002340

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. Matthew Lee Velissaris 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
Matthew Lee Velissaris, 4929 W Fond Du Lac Ave, M, Milwaukee, WI 53216-2324 Ph: (414) 871-6122	Matthew Lee Velissaris, 4001 W Capitol Dr, Milwaukee, WI 53216-2530 Ph: (414) 759-5193

Reviews and Comments

Counselor in Milwaukee, WI

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Matthew Lee Velissaris, - Medicare Counselor in Milwaukee, WI