Kathleen Victoria Poduska, LCPC in Idaho Falls, ID

Kathleen Victoria Poduska, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Idaho Falls, Idaho. Her current practice location is 502 S Woodruff Ave, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 346-7500.

Kathleen Victoria Poduska is licensed to practice in Idaho (license number LCPC-8421) 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 1770009854.

Contact Information

	Kathleen Victoria Poduska, LCPC
	502 S Woodruff Ave, Idaho Falls, ID 83401-5298
	(208) 346-7500
	(208) 346-7501

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Victoria Poduska
Gender	Female
Speciality	Counselor - Mental Health
Location	502 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770009854
Provider Enumeration Date: 08/20/2017
Last Update Date: 12/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3779933775
Enrollment ID: I20240102003953

Medical Identifiers

Medical identifiers for Kathleen Victoria Poduska such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770009854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	BBH-LCPC-LIC-23176 (Montana)	Secondary
101YP2500X	Counselor - Professional	0014263 (Colorado)	Secondary
101YM0800X	Counselor - Mental Health	LCPC-8421 (Idaho)	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. Kathleen Victoria Poduska allows following entities to bill medicare on her behalf.

Entity Name	Pearl Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617

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. Kathleen Victoria Poduska 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
Kathleen Victoria Poduska, LCPC 4159 Lowell Blvd, Denver, CO 80211-1658 Ph: () -	Kathleen Victoria Poduska, LCPC 502 S Woodruff Ave, Idaho Falls, ID 83401-5298 Ph: (208) 346-7500

Reviews and Comments

Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712
Jennie R Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727
Mr. Richard A Troyer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-4953 Fax: 208-524-7335
Kirk Thiemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Kathleen Victoria Poduska, LCPC - Medicare Counselor in Idaho Falls, ID