Klinton R Krouse, HSPP - Medicare Counselor in Fort Wayne, IN

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Klinton R Krouse, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. His current practice location is 2100 Goshen Rd, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 471-3500.

Klinton R Krouse is licensed to practice in Indiana (license number 20042736A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558698357.

Contact Information

Klinton R Krouse, HSPP
2100 Goshen Rd,
Fort Wayne, IN 46808-1493
(260) 471-3500
(260) 471-4263

Map and Direction


Healthcare Provider's Profile

Full NameKlinton R Krouse
GenderMale
SpecialityPsychologist - Clinical
Location2100 Goshen Rd, Fort Wayne, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558698357
  • Provider Enumeration Date: 11/16/2009
  • Last Update Date: 02/14/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3375774706
  • Enrollment ID: I20140327000711

Medical Identifiers

Medical identifiers for Klinton R Krouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558698357NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 39001609A (Indiana)Secondary
103TC0700XPsychologist - Clinical 20042736A (Indiana)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. Klinton R Krouse allows following entities to bill medicare on his behalf.
Entity NameSky Point Social Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093200214
PECOS PAC ID: 1254718612
Enrollment ID: O20220524003019

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. Klinton R Krouse 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 AddressPractice Location Address
Klinton R Krouse, HSPP
Po Box 497, 2621 E. Jefferson St.,
Warsaw, IN 46581-0497

Ph: (574) 267-7169		Klinton R Krouse, HSPP
2100 Goshen Rd,
Fort Wayne, IN 46808-1493

Ph: (260) 471-3500

Reviews and Comments


Psychologist in Fort Wayne, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.