Mrs Angelica Marina Luccia Colibri, LCSW in Franklin, WI - Medicare Clinical Social Worker Provider

Mrs Angelica Marina Luccia Colibri, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Franklin, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Options For Southern Oregon and her current practice location is 7831 S Scepter Dr Apt 6, Franklin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 331-9399.

Mrs Angelica Marina Luccia Colibri is licensed to practice in Wisconsin (license number 7618-123) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760678031.

Contact Information

	Mrs Angelica Marina Luccia Colibri, LCSW
	7831 S Scepter Dr Apt 6, Franklin, WI 53132-2267
	(414) 331-9399
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angelica Marina Luccia Colibri
Gender	Female
Speciality	Clinical Social Worker
Experience	17 Years
Location	7831 S Scepter Dr Apt 6, Franklin, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Angelica Marina Luccia Colibri attended and graduated from University Of Wisconsin School Of Medicine in 2007

NPI Data:

NPI Number: 1760678031
Provider Enumeration Date: 09/20/2007
Last Update Date: 07/27/2021

Medicare PECOS Information:

PECOS PAC ID: 5799968293
Enrollment ID: I20230728002706

Medical Identifiers

Medical identifiers for Mrs Angelica Marina Luccia Colibri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760678031	NPI	-	NPPES
1760678031	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	7618-123 (Wisconsin)	Secondary
1041C0700X	Social Worker - Clinical	7618-123 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Options For Southern Oregon	0941202006	45

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. Mrs Angelica Marina Luccia Colibri allows following entities to bill medicare on her behalf.

Entity Name	Options For Southern Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558366492 PECOS PAC ID: 0941202006 Enrollment ID: O20070217000062

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. Mrs Angelica Marina Luccia Colibri 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
Mrs Angelica Marina Luccia Colibri, LCSW 800 Main St Ste 210, Antioch, IL 60002-1578 Ph: (847) 903-5604	Mrs Angelica Marina Luccia Colibri, LCSW 7831 S Scepter Dr Apt 6, Franklin, WI 53132-2267 Ph: (414) 331-9399

Mrs Angelica Marina Luccia Colibri, LCSW - Medicare Counselor in Franklin, WI