Kim D Prusha, LPC in Menasha, WI - Medicare Counselor Provider

Kim D Prusha, LPC is a medicare enrolled "Counselor - Professional" provider in Menasha, Wisconsin. Her current practice location is 1095 Midway Rd, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 720-2300.

Kim D Prusha is licensed to practice in Wisconsin (license number 397) 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 1114223542.

Contact Information

	Kim D Prusha, LPC
	1095 Midway Rd, Menasha, WI 54952-1115
	(920) 720-2300
	(920) 720-3806

Map and Direction

Healthcare Provider's Profile

Full Name	Kim D Prusha
Gender	Female
Speciality	Counselor - Professional
Location	1095 Midway Rd, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114223542
Provider Enumeration Date: 02/02/2011
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 9739524935
Enrollment ID: I20240227004184

Medical Identifiers

Medical identifiers for Kim D Prusha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114223542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	397 (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. Kim D Prusha allows following entities to bill medicare on her behalf.

Entity Name	Thedacare, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

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. Kim D Prusha 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
Kim D Prusha, LPC 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 720-2300	Kim D Prusha, LPC 1095 Midway Rd, Menasha, WI 54952-1115 Ph: (920) 720-2300

Reviews and Comments

Counselor in Menasha, WI

Mr. Michael G. Frost, RADCI Counselor Medicare: Medicare Enrolled Practice Location: 1201 Tuckaway Ln, Menasha, WI 54952 Phone: 920-733-4443 Fax: 920-733-4796
Darlene Leary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Lisa Bredael, Counselor Medicare: Medicare Enrolled Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Lynne Drews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Shauna S Vanden Hoogen, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-3700
Amber Leigh Greuel, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1095 Midway Rd, Menasha, WI 54952 Phone: 920-720-2300
Sergio Guerrero, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 1478 Kenwood Dr Ste 1, Menasha, WI 54952 Phone: 920-886-9319

Kim D Prusha, LPC - Medicare Counselor in Menasha, WI