Carmen Regina Klenner, in Milwaukee, WI - Medicare Counselor Provider

Carmen Regina Klenner, is a medicare enrolled "Counselor - Mental Health" provider in Milwaukee, Wisconsin. Her current practice location is 11414 W Park Pl Ste 202, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 355-4456.

Carmen Regina Klenner is licensed to practice in Wisconsin (license number 7575-125) 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 1609367853.

Contact Information

	Carmen Regina Klenner,
	11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500
	(262) 355-4456
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carmen Regina Klenner
Gender	Female
Speciality	Counselor - Mental Health
Location	11414 W Park Pl Ste 202, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609367853
Provider Enumeration Date: 05/23/2018
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8325489446
Enrollment ID: I20240507003009

Medical Identifiers

Medical identifiers for Carmen Regina Klenner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609367853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YS0200X	Counselor - School	(Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	7575-125 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	16588-132 (Wisconsin)	Secondary

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. Carmen Regina Klenner allows following entities to bill medicare on her behalf.

Entity Name	Life-span Psychological Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366615205 PECOS PAC ID: 5991859258 Enrollment ID: O20090820000570

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. Carmen Regina Klenner 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
Carmen Regina Klenner, 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 Ph: (262) 355-4456	Carmen Regina Klenner, 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 Ph: (262) 355-4456

Reviews and Comments

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Carmen Regina Klenner, - Medicare Counselor in Milwaukee, WI