Kaylee T Ninnemann, LPC is a medicare enrolled "Counselor - Professional" provider in Luxemburg, Wisconsin. Her current practice location is
140 School Creek Trl, Luxemburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 845-1370.
Kaylee T Ninnemann is licensed to practice in Wisconsin (license number 6777-125) 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 1184075434.
Healthcare Provider's Profile
| Full Name | Kaylee T Ninnemann |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 140 School Creek Trl, Luxemburg, 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: 1184075434
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 06/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012367055
- Enrollment ID: I20240103001064
Medical Identifiers
Medical identifiers for Kaylee T Ninnemann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184075434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 6777-125 (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. Kaylee T Ninnemann allows following entities to bill medicare on her behalf.
| Entity Name | Bellin Psychiatric Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952554800
PECOS PAC ID: 4486551058
Enrollment ID: O20031212000884 |
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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. Kaylee T Ninnemann 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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Kaylee T Ninnemann, LPC
Po Box 22040,
Green Bay, WI 54305-2040
Ph: (920) 445-7222 | Kaylee T Ninnemann, LPC
140 School Creek Trl,
Luxemburg, WI 54217-1095
Ph: (920) 845-1370 |
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