Ms Mirza Lugardo, LMHC, LADC-I in Southbridge, MA

Ms Mirza Lugardo, LMHC, LADC-I is a medicare enrolled "Counselor - Mental Health" provider in Southbridge, Massachusetts. Her current practice location is 100 South St, Southbridge, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 765-3064.

Ms Mirza Lugardo is licensed to practice in Massachusetts (license number 5969) 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 1144392705.

Contact Information

	Ms Mirza Lugardo, LMHC, LADC-I
	100 South St, Southbridge, MA 01550-4051
	(508) 765-3064
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Mirza Lugardo
Gender	Female
Speciality	Counselor - Mental Health
Location	100 South St, Southbridge, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144392705
Provider Enumeration Date: 11/15/2006
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1355793530
Enrollment ID: I20240124000354

Medical Identifiers

Medical identifiers for Ms Mirza Lugardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144392705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1567 (Massachusetts)	Secondary
101YM0800X	Counselor - Mental Health	5969 (Massachusetts)	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. Ms Mirza Lugardo allows following entities to bill medicare on her behalf.

Entity Name	Umass Memorial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267

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 Mirza Lugardo 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
Ms Mirza Lugardo, LMHC, LADC-I 10 Fiske St, Southbridge, MA 01550-1222 Ph: (508) 765-9167	Ms Mirza Lugardo, LMHC, LADC-I 100 South St, Southbridge, MA 01550-4051 Ph: (508) 765-3064

Reviews and Comments

Counselor in Southbridge, MA

Mr. Dominic Idoko, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-765-3147
Courtney Sturgis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 176 Main St, Southbridge, MA 01550 Phone: 508-756-1292 Fax: 508-753-5051
Shannon Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 774-276-5247
Tammy Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771 Fax: 508-764-2434
Jochebed Brochu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 508-765-9101
Mr. Nathanael Lopez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 328 Main St Apt #1, Southbridge, MA 01550 Phone: 508-765-9101
Mr. Marc L Bonin, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 South St, Southbridge, MA 01550 Phone: 508-765-9771

Ms Mirza Lugardo, LMHC, LADC-I - Medicare Counselor in Southbridge, MA