Monica Burbank, LPCC-S in Moraine, OH - Medicare Counselor Provider

Monica Burbank, LPCC-S is a medicare enrolled "Counselor - Professional" provider in Moraine, Ohio. Her current practice location is 3095 Kettering Blvd, Moraine, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 293-8300.

Monica Burbank is licensed to practice in Ohio (license number E.1901462-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 1548780299.

Contact Information

	Monica Burbank, LPCC-S
	3095 Kettering Blvd, Moraine, OH 45439-1983
	(937) 293-8300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Monica Burbank
Gender	Female
Speciality	Counselor - Professional
Location	3095 Kettering Blvd, Moraine, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548780299
Provider Enumeration Date: 06/23/2017
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 8628413044
Enrollment ID: I20240226001334

Medical Identifiers

Medical identifiers for Monica Burbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548780299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.1901462-SUPV (Ohio)	Primary
101Y00000X	Counselor	C.1700265 (Ohio)	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. Monica Burbank allows following entities to bill medicare on her behalf.

Entity Name	Mindfully Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253

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. Monica Burbank 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
Monica Burbank, LPCC-S 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300	Monica Burbank, LPCC-S 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300

Reviews and Comments

Counselor in Moraine, OH

Ms. Bonnie R Parish, LISW-W/BCD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 Fax: 937-222-3710
Laneisha Tiant Gardner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-262-5902
Amita Lee Pujara, M.S., PC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1359 Fax: 937-534-1347
Mrs. Karla Renee Tolbert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 513-604-8063
Mrs. Jennifer Louise Pettit, M. ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Hannah Blair, MSW, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Mrs. Michelle L Schaffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347

Monica Burbank, LPCC-S - Medicare Counselor in Moraine, OH