Joanne M Klysen, in Green Bay, WI - Medicare Counselor Provider

Joanne M Klysen, is a medicare enrolled "Counselor - Mental Health" provider in Green Bay, Wisconsin. Her current practice location is 1061 W Mason St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 437-8256.

Joanne M Klysen is licensed to practice in Wisconsin (license number 6031-125) 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 1962826941.

Contact Information

	Joanne M Klysen,
	1061 W Mason St, Green Bay, WI 54303-1858
	(920) 437-8256
	(920) 437-1188

Map and Direction

Healthcare Provider's Profile

Full Name	Joanne M Klysen
Gender	Female
Speciality	Counselor - Mental Health
Location	1061 W Mason St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962826941
Provider Enumeration Date: 02/11/2014
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3072950914
Enrollment ID: I20240327001153

Medical Identifiers

Medical identifiers for Joanne M Klysen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962826941	NPI	-	NPPES
6031-125	Other	WI	WISCONSIN DEPT OF SAFETY AND PROFESSIONAL SERVICES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6031-125 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	6031-125 (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. Joanne M Klysen allows following entities to bill medicare on her behalf.

Entity Name	Foundations Health And Wholeness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840607 PECOS PAC ID: 5597659631 Enrollment ID: O20040210001024

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. Joanne M Klysen 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
Joanne M Klysen, 1061 W Mason St, Green Bay, WI 54303-1858 Ph: (920) 437-8256	Joanne M Klysen, 1061 W Mason St, Green Bay, WI 54303-1858 Ph: (920) 437-8256

Reviews and Comments

Counselor in Green Bay, WI

Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914
Mr. John Barajas, LPC-IT, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 424 S Monroe Ave Ste 201, Green Bay, WI 54301 Phone: 920-445-0170 Fax: 920-445-0174
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859

Joanne M Klysen, - Medicare Counselor in Green Bay, WI