Lisa M Defazio, MSW, LCSW - Medicare Clinical Social Worker in Kenosha, WI

Lisa M Defazio, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Psychiatric And Psychotherapy Clinic L I Newman Md Sc Gen Ptr and her current practice location is 3734 7th Ave, Suite 24, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 654-0487.

Lisa M Defazio is licensed to practice in Wisconsin (license number 7524-123) 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 1336374925.

Contact Information

Lisa M Defazio, MSW, LCSW
3734 7th Ave, Suite 24,
Kenosha, WI 53140-5525
(262) 654-0487
(262) 654-2434



Healthcare Provider's Profile

Full NameLisa M Defazio
GenderFemale
SpecialityClinical Social Worker
Experience18 Years
Location3734 7th Ave, Kenosha, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa M Defazio graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1336374925
  • Provider Enumeration Date: 05/26/2009
  • Last Update Date: 10/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9638352594
  • Enrollment ID: I20110330000638

Medical Identifiers

Medical identifiers for Lisa M Defazio such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336374925NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 7524-123 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Psychiatric And Psychotherapy Clinic L I Newman Md Sc Gen Ptr05472001986

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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. Lisa M Defazio allows following entities to bill medicare on her behalf.
Entity NamePsychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932312212
PECOS PAC ID: 0547200198
Enrollment ID: O20050503001288

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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. Lisa M Defazio 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 AddressPractice Location Address
Lisa M Defazio, MSW, LCSW
6125 Green Bay Rd, Ste 700,
Kenosha, WI 53142-2928

Ph: (262) 654-0487
Lisa M Defazio, MSW, LCSW
3734 7th Ave, Suite 24,
Kenosha, WI 53140-5525

Ph: (262) 654-0487

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Social Worker in Kenosha, WI

Linda M. Tiso, MSW, LCSW, SAC
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 3535 30th Ave, Suite 202, Kenosha, WI 53144
Phone: 262-842-0500    Fax: 262-842-0502
Kathryn Ann Aalto, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 3734 7th Ave, Suite 12, Kenosha, WI 53140
Phone: 262-654-9370    Fax: 262-654-9379
David S Meyers, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 920 60th St, Kenosha, WI 53140
Phone: 262-654-5333    Fax: 262-654-7818
Nicholas Olsen, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142
Phone: 262-674-3718    
Shonda Lynn Gagliano, MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 7723 32nd Ave, Kenosha, WI 53142
Phone: 262-573-4549    
Victoria Mahboub, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 6014 41st Ave, Kenosha, WI 53142
Phone: 262-818-3531    
Jennifer Brau, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 4633 Washington Rd, Kenosha, WI 53144
Phone: 262-652-7222    

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