Staci Lynn Hissong, LPC in Royal Oak, MI - Medicare Counselor Provider

Staci Lynn Hissong, LPC is a medicare enrolled "Counselor - Professional" provider in Royal Oak, Michigan. Her current practice location is 306 S Washington Ave Ste 205, Royal Oak, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 629-0044.

Staci Lynn Hissong is licensed to practice in Michigan (license number 6401013129) 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 1669710265.

Contact Information

	Staci Lynn Hissong, LPC
	306 S Washington Ave Ste 205, Royal Oak, MI 48067-3833
	(248) 629-0044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Lynn Hissong
Gender	Female
Speciality	Counselor - Professional
Location	306 S Washington Ave Ste 205, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669710265
Provider Enumeration Date: 01/17/2013
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1456796580
Enrollment ID: I20240228004483

Medical Identifiers

Medical identifiers for Staci Lynn Hissong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669710265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401013129 (Michigan)	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. Staci Lynn Hissong allows following entities to bill medicare on her behalf.

Entity Name	Heron Ridge Associates Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013187541 PECOS PAC ID: 2961303573 Enrollment ID: O20040116000532

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. Staci Lynn Hissong 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
Staci Lynn Hissong, LPC 306 S Washington Ave Ste 205, Royal Oak, MI 48067-3833 Ph: () -	Staci Lynn Hissong, LPC 306 S Washington Ave Ste 205, Royal Oak, MI 48067-3833 Ph: (248) 629-0044

Reviews and Comments

Counselor in Royal Oak, MI

Amanda Luteran, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 3282 Albert Ave Apt 813, Royal Oak, MI 48073 Phone: 810-429-9161
Stephanie Cutler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 Wyandotte Ave, Royal Oak, MI 48067 Phone: 248-491-8970
Elizabeth Mccarthy, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 Crooks Rd, Royal Oak, MI 48073 Phone: 248-875-4977
Jack Jeffrey Blaszkowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Crooks Rd Apt 21, Royal Oak, MI 48073 Phone: 901-692-2027
Pamela Livingston, MLSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Knowles St, Royal Oak, MI 48067 Phone: 248-840-1919 Fax: 248-548-4944
Jennifer Shafer Delmotte, LLPC, FAODP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1424 E 11 Mile Rd, Royal Oak, MI 48067 Phone: 248-548-4044 Fax: 248-548-9239
Sandra D Mattia, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 30701 Woodward Ave, Royal Oak, MI 48073 Phone: 248-288-9333 Fax: 248-288-1362

Staci Lynn Hissong, LPC - Medicare Counselor in Royal Oak, MI