Jill Bley Klink, LPC in Hartford, WI - Medicare Counselor Provider

Jill Bley Klink, LPC is a medicare enrolled "Counselor - Professional" provider in Hartford, Wisconsin. Her current practice location is 1640 E Sumner St, Hartford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 670-4069.

Jill Bley Klink is licensed to practice in Wisconsin (license number 2788-125) 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 1891832283.

Contact Information

	Jill Bley Klink, LPC
	1640 E Sumner St, Hartford, WI 53027-2684
	(262) 670-4069
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jill Bley Klink
Gender	Female
Speciality	Counselor - Professional
Location	1640 E Sumner St, Hartford, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891832283
Provider Enumeration Date: 02/01/2007
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 8820440563
Enrollment ID: I20240118002869

Medical Identifiers

Medical identifiers for Jill Bley Klink such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891832283	NPI	-	NPPES
39789600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2788-125 (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. Jill Bley Klink allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Jill Bley Klink 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
Jill Bley Klink, LPC 224 Birch Ln, Hartford, WI 53027-1717 Ph: (262) 673-7034	Jill Bley Klink, LPC 1640 E Sumner St, Hartford, WI 53027-2684 Ph: (262) 670-4069

Reviews and Comments

Counselor in Hartford, WI

Mrs. Jean M Meidenbauer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 Mueller St, Hartford, WI 53027 Phone: 262-224-7006 Fax: 262-397-8023
Mrs. Jennifer Everts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Pleasant Ave, Hartford, WI 53027 Phone: 262-457-1121
Jamie Lynn Velvikis, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-323-1055 Fax: 262-323-1055
Samantha B Kesting, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 112 Peace Lutheran Pkwy, Hartford, WI 53027 Phone: 800-438-1772 Fax: 262-293-9737
Mr. Gary Robert Probst, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-244-0729 Fax: 866-238-3845
Briana Roberts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-223-6125

Jill Bley Klink, LPC - Medicare Counselor in Hartford, WI