Dakota J Kaiser, PHD is a medicare enrolled "Psychologist - Health Service" provider in Wausau, Wisconsin. His current practice location is
1810 N 2nd St, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 848-4884.
Dakota J Kaiser is licensed to practice in Wisconsin (license number 3905-57) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033566088.
Healthcare Provider's Profile
| Full Name | Dakota J Kaiser |
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| Gender | Male |
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| Speciality | Psychologist - Health Service |
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| Location | 1810 N 2nd St, Wausau, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033566088
- Provider Enumeration Date: 05/19/2016
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 4587065222
- Enrollment ID: I20210701001272
Medical Identifiers
Medical identifiers for Dakota J Kaiser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033566088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 16670-130 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 3006-226 (Wisconsin) | Secondary |
| 103TH0100X | Psychologist - Health Service | 3905-57 (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. Dakota J Kaiser allows following entities to bill medicare on his behalf.
| Entity Name | Primary Connection Health Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457370744
PECOS PAC ID: 3870577935
Enrollment ID: O20040616000370 |
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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. Dakota J Kaiser 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 |
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Dakota J Kaiser, PHD
1810 N 2nd St,
Wausau, WI 54403-3492
Ph: (715) 848-4884 | Dakota J Kaiser, PHD
1810 N 2nd St,
Wausau, WI 54403-3492
Ph: (715) 848-4884 |
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