Kellie Elaine Deitrich, MS in Reedsburg, WI - Medicare Counselor Provider

Kellie Elaine Deitrich, MS is a medicare enrolled "Counselor" provider in Reedsburg, Wisconsin. Her current practice location is 2155 E Main St, Reedsburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 415-9956.

Kellie Elaine Deitrich is licensed to practice in Wisconsin (license number 5124-226) 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 1376295683.

Contact Information

	Kellie Elaine Deitrich, MS
	2155 E Main St, Reedsburg, WI 53959-9440
	(608) 415-9956
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kellie Elaine Deitrich
Gender	Female
Speciality	Counselor
Location	2155 E Main St, Reedsburg, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376295683
Provider Enumeration Date: 01/19/2022
Last Update Date: 01/19/2022

Medicare PECOS Information:

PECOS PAC ID: 8628509742
Enrollment ID: I20241001001269

Medical Identifiers

Medical identifiers for Kellie Elaine Deitrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376295683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	5124-226 (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. Kellie Elaine Deitrich allows following entities to bill medicare on her behalf.

Entity Name	Sauk County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528056819 PECOS PAC ID: 7618931148 Enrollment ID: O20041115001185

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. Kellie Elaine Deitrich 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
Kellie Elaine Deitrich, MS 800 Mary Ave, Reedsburg, WI 53959-1119 Ph: (608) 415-7187	Kellie Elaine Deitrich, MS 2155 E Main St, Reedsburg, WI 53959-9440 Ph: (608) 415-9956

Reviews and Comments

Counselor in Reedsburg, WI

Heather Jo Klang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2155 E Main St, Reedsburg, WI 53959 Phone: 608-415-9956
Victoria Lynn Braun, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1470 Inverness Ct, Reedsburg, WI 53959 Phone: 608-495-6117
Jamie B Rogers, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 222 N Walnut St, Reedsburg, WI 53959 Phone: 608-562-3976
Dakota R Goodman, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2213 E Main St, Reedsburg, WI 53959 Phone: 608-768-4545
Dr. Steven Garritt Benish, PH.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 1900 N Dewey Ave, Reedsburg, WI 53959 Phone: 608-524-6477 Fax: 608-524-8305
Kaz Conrad, MA, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 348 E Main St, Reedsburg, WI 53959 Phone: 608-495-9500
Briana Lynn Kidd, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 N Dewey Ave, Reedsburg, WI 53959 Phone: 608-888-2696

Kellie Elaine Deitrich, MS - Medicare Counselor in Reedsburg, WI