Marissa Mae Ilac, LCPC in Polson, MT - Medicare Counselor Provider

Marissa Mae Ilac, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Polson, Montana. Her current practice location is 402 1st St. E. #205, Polson, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 260-1716.

Marissa Mae Ilac is licensed to practice in Montana (license number BBH-LCPC-LIC-48659) 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 1497339493.

Contact Information

	Marissa Mae Ilac, LCPC
	402 1st St. E. #205, Polson, MT 59860
	(406) 260-1716
	Not Available

Healthcare Provider's Profile

Full Name	Marissa Mae Ilac
Gender	Female
Speciality	Counselor - Mental Health
Location	402 1st St. E. #205, Polson, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497339493
Provider Enumeration Date: 05/06/2021
Last Update Date: 05/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9931545092
Enrollment ID: I20240312000066

Medical Identifiers

Medical identifiers for Marissa Mae Ilac such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497339493	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	BBH-LCPC-LIC-48659 (Montana)	Primary

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. Marissa Mae Ilac 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
Marissa Mae Ilac, LCPC Po Box 731, Hot Springs, MT 59845-0731 Ph: (406) 260-1716	Marissa Mae Ilac, LCPC 402 1st St. E. #205, Polson, MT 59860 Ph: (406) 260-1716

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Counselor in Polson, MT

April Brewer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312
Ms. Karen Ann Mcmullen, M.ED. L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 1st St W, Suite 202, Polson, MT 59860 Phone: 406-261-9321 Fax: 406-887-9948
Lesley E. Dubay, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312
Christina K Newell Wyatt, LCSW, LCAS, CCS Counselor Medicare: Accepting Medicare Assignments Practice Location: 302 1st St W Ste 104, Polson, MT 59860 Phone: 406-210-0035 Fax: 406-635-8695
Theresa Oakland, M.S. LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312
Susan Weaselhead, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910
Shasta Baum-strait, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36919 Fulkerson Ln, Polson, MT 59860 Phone: 406-546-3224

Marissa Mae Ilac, LCPC - Medicare Counselor in Polson, MT