Dr Lisa M Pezzulich, PSYD - Medicare Psychologist in Bennington, VT

Dr Lisa M Pezzulich, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bennington, Vermont. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mindful Solutions Pllc and her current practice location is 160 Benmont Ave, Suite 20, Bennington, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 442-3520.

Dr Lisa M Pezzulich is licensed to practice in Vermont (license number 048-0000729) 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 1417040767.

Contact Information

Dr Lisa M Pezzulich, PSYD
160 Benmont Ave, Suite 20,
Bennington, VT 05201-1873
(802) 442-3520
(802) 447-3392



Healthcare Provider's Profile

Full NameDr Lisa M Pezzulich
GenderFemale
SpecialityClinical Psychologist
Experience27 Years
Location160 Benmont Ave, Bennington, Vermont
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:
  • Dr Lisa M Pezzulich graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1417040767
  • Provider Enumeration Date: 10/01/2006
  • Last Update Date: 07/22/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6204918741
  • Enrollment ID: I20080811000570

Medical Identifiers

Medical identifiers for Dr Lisa M Pezzulich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417040767NPI-NPPES
OVN1922MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 048-0000729 (Vermont)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mindful Solutions Pllc07494729672

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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. Dr Lisa M Pezzulich allows following entities to bill medicare on her behalf.
Entity NameMindful Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740501071
PECOS PAC ID: 0749472967
Enrollment ID: O20101006000934

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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. Dr Lisa M Pezzulich 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
Dr Lisa M Pezzulich, PSYD
160 Benmont Ave, Suite 20,
Bennington, VT 05201-1873

Ph: (802) 442-3520
Dr Lisa M Pezzulich, PSYD
160 Benmont Ave, Suite 20,
Bennington, VT 05201-1873

Ph: (802) 442-3520

News Archive

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Psychologist in Bennington, VT

Bernard M Bandman, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 160 Benmont Ave, Bennington, VT 05201
Phone: 802-447-0037    Fax: 802-442-8721
Laura Budde, LICSW
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    Fax: 802-442-4910
Barbara M Hand, MA
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    
Dr. Jeremy Ray Sullivan, PSY.D
Psychologist
Medicare: Medicare Enrolled
Practice Location: 655 Main St, Bennington, VT 05201
Phone: 413-347-6679    
Dean E Hammer, PSY.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    Fax: 802-442-3363
Doris M Russell, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 100 Ledgehill Rd, Bennington, VT 05201
Phone: 802-442-5491    Fax: 802-442-3363
Jennifer Romans Burgoon, PHD,
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 160 Hospital Dr, Bennington, VT 05201
Phone: 210-615-3483    

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