Kelly A Dubord, LPC in Milwaukee, WI - Medicare Counselor Provider

Kelly A Dubord, LPC is a medicare enrolled "Counselor - Professional" provider in Milwaukee, Wisconsin. Her current practice location is 2323 N Lake Dr Fl 1, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 585-6120.

Kelly A Dubord is licensed to practice in Wisconsin (license number 3633-125) 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 1649370727.

Contact Information

	Kelly A Dubord, LPC
	2323 N Lake Dr Fl 1, Milwaukee, WI 53211-4508
	(414) 585-6120
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly A Dubord
Gender	Female
Speciality	Counselor - Professional
Location	2323 N Lake Dr Fl 1, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649370727
Provider Enumeration Date: 09/25/2006
Last Update Date: 10/04/2023

Medicare PECOS Information:

PECOS PAC ID: 2264898865
Enrollment ID: I20240207002328

Medical Identifiers

Medical identifiers for Kelly A Dubord such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649370727	NPI	-	NPPES
41008600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3633-125 (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. Kelly A Dubord allows following entities to bill medicare on her behalf.

Entity Name	Columbia St Marys Hospital Milwaukee Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057

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. Kelly A Dubord 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
Kelly A Dubord, LPC 2323 N Lake Dr Fl 1, Milwaukee, WI 53211-4508 Ph: (414) 585-6120	Kelly A Dubord, LPC 2323 N Lake Dr Fl 1, Milwaukee, WI 53211-4508 Ph: (414) 585-6120

Reviews and Comments

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Kelly A Dubord, LPC - Medicare Counselor in Milwaukee, WI