Ms Lisa R Vanderveen-nagel, MS, LPCC, LICSW is a medicare enrolled "Counselor - Professional" provider in New Market, Minnesota. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Secure Base Counseling Center Llc and her current practice location is
2208 Jean Way, New Market, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 461-4470.
Ms Lisa R Vanderveen-nagel is licensed to practice in Minnesota (license number 375) 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 1538419551.
Healthcare Provider's Profile
| Full Name | Ms Lisa R Vanderveen-nagel |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 2208 Jean Way, New Market, Minnesota |
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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:
- Ms Lisa R Vanderveen-nagel graduated from medical school in 2009
NPI Data:
- NPI Number: 1538419551
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921403320
- Enrollment ID: I20210914001834
Medical Identifiers
Medical identifiers for Ms Lisa R Vanderveen-nagel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538419551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 375 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Secure Base Counseling Center Llc | 8628409299 | 3 |
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. Ms Lisa R Vanderveen-nagel allows following entities to bill medicare on her behalf.
| Entity Name | Secure Base Counseling Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285905885
PECOS PAC ID: 8628409299
Enrollment ID: O20200514001997 |
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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. Ms Lisa R Vanderveen-nagel 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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Ms Lisa R Vanderveen-nagel, MS, LPCC, LICSW
570 Professional Dr,
Northfield, MN 55057-2756
Ph: (507) 301-3412 | Ms Lisa R Vanderveen-nagel, MS, LPCC, LICSW
2208 Jean Way,
New Market, MN 55054-5421
Ph: (952) 461-4470 |
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