Brooke T Kysely, MS, LPC, NCC in Jefferson, WI

Brooke T Kysely, MS, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Jefferson, Wisconsin. Her current practice location is 1541 Annex Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (206) 741-1349.

Brooke T Kysely is licensed to practice in Wisconsin (license number 8573-125) 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 1487247326.

Contact Information

	Brooke T Kysely, MS, LPC, NCC
	1541 Annex Rd, Jefferson, WI 53549-9803
	(206) 741-1349
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke T Kysely
Gender	Female
Speciality	Counselor - Professional
Location	1541 Annex Rd, Jefferson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487247326
Provider Enumeration Date: 02/11/2021
Last Update Date: 01/29/2023

Medicare PECOS Information:

PECOS PAC ID: 9537512751
Enrollment ID: I20240124001734

Medical Identifiers

Medical identifiers for Brooke T Kysely such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487247326	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	4834226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	8573-125 (Wisconsin)	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. Brooke T Kysely allows following entities to bill medicare on her behalf.

Entity Name	Jefferson County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371

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. Brooke T Kysely 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
Brooke T Kysely, MS, LPC, NCC 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 318-2095	Brooke T Kysely, MS, LPC, NCC 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (206) 741-1349

Reviews and Comments

Counselor in Jefferson, WI

Brittany Long, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Amanda Sass, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Kimberly Miller, LCSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Danielle Graham - Heine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113
Ms. Holly Rae Pagel, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8108 Fax: 920-674-8114
Mrs. Amanda Rae Lightner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8197 Fax: 920-674-6113
Amy Porter, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105

Brooke T Kysely, MS, LPC, NCC - Medicare Counselor in Jefferson, WI