Susan Carol Eisenberg, LCSW - Medicare Counselor in Avon, CT

Susan Carol Eisenberg, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Avon, Connecticut. Her current practice location is 35 E Main St Ste 125, Avon, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 325-7344.

Susan Carol Eisenberg is licensed to practice in Connecticut (license number 003196) 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 1013660174.

Contact Information

Susan Carol Eisenberg, LCSW
35 E Main St Ste 125,
Avon, CT 06001-3845
(860) 325-7344
Not Available

Healthcare Provider's Profile

Full NameSusan Carol Eisenberg
GenderFemale
SpecialityCounselor - Mental Health
Location35 E Main St Ste 125, Avon, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013660174
  • Provider Enumeration Date: 01/30/2022
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113313651
  • Enrollment ID: I20220408001164

Medical Identifiers

Medical identifiers for Susan Carol Eisenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013660174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 003196 (Connecticut)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. Susan Carol Eisenberg allows following entities to bill medicare on her behalf.
Entity NameAuthentic-self Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679229769
PECOS PAC ID: 2264828193
Enrollment ID: O20220401001335

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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. Susan Carol Eisenberg 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
Susan Carol Eisenberg, LCSW
35 E Main St Ste 125,
Avon, CT 06001-3845

Ph: (860) 325-7344
Susan Carol Eisenberg, LCSW
35 E Main St Ste 125,
Avon, CT 06001-3845

Ph: (860) 325-7344

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Counselor in Avon, CT

Brittaney A Melaragno,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 41 Scarborough Dr, Avon, CT 06001
Phone: 860-986-4324    
Jeanne Candace Folks, D.MIN, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12 Old Farms Rd, Avon, CT 06001
Phone: 860-678-8779    
Anna Poltorak,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 40 Avon Meadow Ln Bldg 40, Avon, CT 06001
Phone: 860-325-0305    
Mrs. Linda Valera, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 46 W Avon Rd Ste 202, Avon, CT 06001
Phone: 860-673-0145    
Heather Leigh Black, LPCA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 12 Lakeview Blvd, Avon, CT 06001
Phone: 860-559-6543    
Douglas Lampert, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 35 Tower Ln, Avon, CT 06001
Phone: 860-284-0048    

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