Mrs Lisa Joy Decathelineau, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Montevideo, Minnesota. Her current practice location is
1234 Mn-7, Montevideo, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 269-4581.
Mrs Lisa Joy Decathelineau is licensed to practice in Minnesota (license number 1094) 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 1114086188.
Healthcare Provider's Profile
| Full Name | Mrs Lisa Joy Decathelineau |
|---|
| Gender | Female |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 1234 Mn-7, Montevideo, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1114086188
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 02/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133566458
- Enrollment ID: I20240322000688
Medical Identifiers
Medical identifiers for Mrs Lisa Joy Decathelineau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114086188 | NPI | - | NPPES |
| 801929100 | Medicaid | MN | |
| 1033823 | Other | | PREFERRED ONE |
| 172691 | Other | | UCARE |
| 374J68T | Other | | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | 1094 (Minnesota) | 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 Lisa Joy Decathelineau allows following entities to bill medicare on her behalf.
| Entity Name | Appleton Area Health |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1730126673
PECOS PAC ID: 7618952565
Enrollment ID: O20060818000114 |
|---|
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 Joy Decathelineau 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 Lisa Joy Decathelineau, LMFT
220 230th Ave Nw,
Appleton, MN 56208-1828
Ph: (320) 235-4613 | Mrs Lisa Joy Decathelineau, LMFT
1234 Mn-7,
Montevideo, MN 56265
Ph: (320) 269-4581 |
Reviews and Comments