Mr Evan R Hart, LPC in Racine, WI - Medicare Counselor Provider

Mr Evan R Hart, LPC is a medicare enrolled "Counselor - Professional" provider in Racine, Wisconsin. His current practice location is 1143 Warwick Way Unit A, Racine, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 789-1191.

Mr Evan R Hart is licensed to practice in Wisconsin (license number 4635-125) 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 1508043910.

Contact Information

	Mr Evan R Hart, LPC
	1143 Warwick Way Unit A, Racine, WI 53406-5661
	(414) 789-1191
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Evan R Hart
Gender	Male
Speciality	Counselor - Professional
Location	1143 Warwick Way Unit A, Racine, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508043910
Provider Enumeration Date: 01/28/2008
Last Update Date: 08/26/2024

Medicare PECOS Information:

PECOS PAC ID: 6507203130
Enrollment ID: I20240319001856

Medical Identifiers

Medical identifiers for Mr Evan R Hart such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508043910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4635-125 (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. Mr Evan R Hart allows following entities to bill medicare on his behalf.

Entity Name	Cornerstone Counseling Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446

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. Mr Evan R Hart 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
Mr Evan R Hart, LPC 4929 W Fond Du Lac Ave, Milwaukee, WI 53216-2324 Ph: (414) 871-6122	Mr Evan R Hart, LPC 1143 Warwick Way Unit A, Racine, WI 53406-5661 Ph: (414) 789-1191

Reviews and Comments

Counselor in Racine, WI

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Mrs. Maryellen L. Schemel, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 Northwestern Ave, Suite Ll5, Racine, WI 53404 Phone: 262-260-8370

Mr Evan R Hart, LPC - Medicare Counselor in Racine, WI