Kerah Mae Modesti, LPC-IT in Kenosha, WI - Medicare Counselor Provider

Kerah Mae Modesti, LPC-IT is a medicare enrolled "Counselor - Professional" provider in Kenosha, Wisconsin. Her current practice location is 2108 63rd St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 652-2406.

Kerah Mae Modesti is licensed to practice in Wisconsin (license number 10155-125) 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 1477133510.

Contact Information

	Kerah Mae Modesti, LPC-IT
	2108 63rd St, Kenosha, WI 53143-4454
	(262) 652-2406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kerah Mae Modesti
Gender	Female
Speciality	Counselor - Professional
Location	2108 63rd St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477133510
Provider Enumeration Date: 04/13/2021
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7719320167
Enrollment ID: I20240213001956

Medical Identifiers

Medical identifiers for Kerah Mae Modesti such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477133510	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	10155-125 (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. Kerah Mae Modesti allows following entities to bill medicare on her behalf.

Entity Name	Professional Services Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742

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. Kerah Mae Modesti 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
Kerah Mae Modesti, LPC-IT 6233 39th Ave, Kenosha, WI 53142-7015 Ph: (262) 654-1004	Kerah Mae Modesti, LPC-IT 2108 63rd St, Kenosha, WI 53143-4454 Ph: (262) 652-2406

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Stephanie L Mayberry, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6127 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-654-8366 Fax: 262-842-0444
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Kathleen M Bullard, MS, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4003 80th St Ste 101, Kenosha, WI 53142 Phone: 262-806-1467 Fax: 262-661-7702
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Kerah Mae Modesti, LPC-IT - Medicare Counselor in Kenosha, WI