Alyssa Marie Kregloh, PSYD, HSPP is a medicare enrolled "Psychologist" provider in Lebanon, Indiana. Her current practice location is
1600 W Main St, Lebanon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 574-1254.
Alyssa Marie Kregloh is licensed to practice in Indiana (license number 20043246A) 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 1528512134.
Healthcare Provider's Profile
Full Name | Alyssa Marie Kregloh |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1600 W Main St, Lebanon, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528512134
- Provider Enumeration Date: 08/11/2016
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981935228
- Enrollment ID: I20191017000668
Medical Identifiers
Medical identifiers for Alyssa Marie Kregloh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528512134 | NPI | - | NPPES |
20043246B | Other | IN | HEALTH SERVICE PROVIDER IN PSYCHOLOGY (HSPP) |
20043246A | Other | IN | PSYCHOLOGIST LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Indiana) | Secondary |
103T00000X | Psychologist | 20043246A (Indiana) | 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. Alyssa Marie Kregloh allows following entities to bill medicare on her behalf.
Entity Name | Aspire Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124016050 PECOS PAC ID: 4486635455 Enrollment ID: O20041015000190 |
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Entity Name | Aspire Indiana Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780068288 PECOS PAC ID: 8921314196 Enrollment ID: O20150902001749 |
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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. Alyssa Marie Kregloh 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 |
Alyssa Marie Kregloh, PSYD, HSPP 9615 E 148th St Ste 1, Noblesville, IN 46060-4371 Ph: (317) 574-1254 | Alyssa Marie Kregloh, PSYD, HSPP 1600 W Main St, Lebanon, IN 46052-2388 Ph: (317) 574-1254 |
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