Mrs Lisa Diane Niemisto, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Marquette, Michigan. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Catholic Social Services Of The Up and her current practice location is
347 Rock St, Marquette, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 227-9119.
Mrs Lisa Diane Niemisto is licensed to practice in Michigan (license number 6801095909) 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 1467873323.
Healthcare Provider's Profile
| Full Name | Mrs Lisa Diane Niemisto |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 347 Rock St, Marquette, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Lisa Diane Niemisto graduated from medical school in 2013
NPI Data:
- NPI Number: 1467873323
- Provider Enumeration Date: 12/19/2013
- Last Update Date: 11/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345470605
- Enrollment ID: I20140306000208
Medical Identifiers
Medical identifiers for Mrs Lisa Diane Niemisto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467873323 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C02843 (Michigan) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6801095909 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801095909 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Catholic Social Services Of The Up | 7012999865 | 5 |
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 Lisa Diane Niemisto allows following entities to bill medicare on her behalf.
| Entity Name | Catholic Social Services Of The Up |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619907052
PECOS PAC ID: 7012999865
Enrollment ID: O20060906000215 |
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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 Lisa Diane Niemisto 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 |
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Mrs Lisa Diane Niemisto, LMSW
347 Rock St,
Marquette, MI 49855-4783
Ph: (906) 227-9119 | Mrs Lisa Diane Niemisto, LMSW
347 Rock St,
Marquette, MI 49855-4783
Ph: (906) 227-9119 |
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