Edward Joseph Jedlicka, MS, LPC in Fond Du Lac, WI

Edward Joseph Jedlicka, MS, LPC is a medicare enrolled "Counselor - Professional" provider in Fond Du Lac, Wisconsin. His current practice location is 40 Camelot Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 907-8201.

Edward Joseph Jedlicka is licensed to practice in Wisconsin (license number 2239-125) 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 1467737346.

Contact Information

	Edward Joseph Jedlicka, MS, LPC
	40 Camelot Dr, Fond Du Lac, WI 54935-8049
	(920) 907-8201
	(920) 907-8209

Map and Direction

Healthcare Provider's Profile

Full Name	Edward Joseph Jedlicka
Gender	Male
Speciality	Counselor - Professional
Location	40 Camelot Dr, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467737346
Provider Enumeration Date: 10/11/2011
Last Update Date: 03/09/2023

Medicare PECOS Information:

PECOS PAC ID: 5890123608
Enrollment ID: I20200310000384

Medical Identifiers

Medical identifiers for Edward Joseph Jedlicka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467737346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2239-125 (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. Edward Joseph Jedlicka allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Edward Joseph Jedlicka 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
Edward Joseph Jedlicka, MS, LPC 1808 W Beltline Hwy, Madison, WI 53713-2334 Ph: (209) 926-8343	Edward Joseph Jedlicka, MS, LPC 40 Camelot Dr, Fond Du Lac, WI 54935-8049 Ph: (920) 907-8201

Reviews and Comments

Counselor in Fond Du Lac, WI

Claire Elizabeth Krizman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 310-880-8864
Jenna R Pieper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129
Amanda Rentmeester, Counselor Medicare: Not Enrolled in Medicare Practice Location: W6986 Newton Rd, Fond Du Lac, WI 54937 Phone: 414-416-7368
Sandra M Schug, MS, LPC-IT, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500
Tania Rhoads, CISW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Forest Ave, Suite 116, Fond Du Lac, WI 54935 Phone: 920-907-0813 Fax: 920-907-0826
Kaitlyn Kenealy, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 S Main St Ste M05, Fond Du Lac, WI 54935 Phone: 920-659-5414
Lynn Marie Genz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8933

Edward Joseph Jedlicka, MS, LPC - Medicare Counselor in Fond Du Lac, WI