Mrs Autumn Marzette-anderson, LPC in Kenosha, WI

Mrs Autumn Marzette-anderson, LPC is a medicare enrolled "Counselor - Professional" provider in Kenosha, Wisconsin. Her current practice location is 2901 35th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 764-2459.

Mrs Autumn Marzette-anderson is licensed to practice in * (Not Available) (license number ) 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 1689346207.

Contact Information

	Mrs Autumn Marzette-anderson, LPC
	2901 35th St, Kenosha, WI 53140-5117
	(262) 764-2459
	(262) 558-0429

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Autumn Marzette-anderson
Gender	Female
Speciality	Counselor - Professional
Location	2901 35th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689346207
Provider Enumeration Date: 10/01/2021
Last Update Date: 10/21/2021

Medicare PECOS Information:

PECOS PAC ID: 5294171773
Enrollment ID: I20240306003258

Medical Identifiers

Medical identifiers for Mrs Autumn Marzette-anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689346207	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	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. Mrs Autumn Marzette-anderson allows following entities to bill medicare on her behalf.

Entity Name	Professional Services Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742

Entity Name	Be Insightful
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073110631 PECOS PAC ID: 1254746159 Enrollment ID: O20240329002405

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 Autumn Marzette-anderson 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 Autumn Marzette-anderson, LPC 2901 35th St Lowr Suiteb, Kenosha, WI 53140-5117 Ph: (262) 764-2459	Mrs Autumn Marzette-anderson, LPC 2901 35th St, Kenosha, WI 53140-5117 Ph: (262) 764-2459

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Stephanie L Mayberry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-654-8366 Fax: 262-842-0444
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Kathleen M Bullard, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4003 80th St Ste 101, Kenosha, WI 53142 Phone: 262-806-1467 Fax: 262-661-7702
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Mrs Autumn Marzette-anderson, LPC - Medicare Counselor in Kenosha, WI