Korah Lee Petrasko, LPC in Appleton, WI - Medicare Counselor Provider

Korah Lee Petrasko, LPC is a medicare enrolled "Counselor - Professional" provider in Appleton, Wisconsin. Her current practice location is 711 N Lynndale Dr Ste 1a, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 560-4525.

Korah Lee Petrasko is licensed to practice in Wisconsin (license number 8166) 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 1346741345.

Contact Information

	Korah Lee Petrasko, LPC
	711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078
	(920) 560-4525
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Korah Lee Petrasko
Gender	Female
Speciality	Counselor - Professional
Location	711 N Lynndale Dr Ste 1a, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346741345
Provider Enumeration Date: 02/24/2018
Last Update Date: 01/07/2025

Medicare PECOS Information:

PECOS PAC ID: 9133571193
Enrollment ID: I20240116002116

Medical Identifiers

Medical identifiers for Korah Lee Petrasko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346741345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3831-226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	8166 (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. Korah Lee Petrasko 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. Korah Lee Petrasko 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
Korah Lee Petrasko, LPC 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 720-2300	Korah Lee Petrasko, LPC 711 N Lynndale Dr Ste 1a, Appleton, WI 54914-3078 Ph: (920) 560-4525

Reviews and Comments

Counselor in Appleton, WI

Ms. Maria Gloria Vercimak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451
Mr. John Barajas, LPC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 4650 W Spencer St, Appleton, WI 54914 Phone: 920-903-1060 Fax: 920-903-1060
Pablo E Serna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Walnut St, Appleton, WI 54911 Phone: 920-832-4741 Fax: 920-832-2185
Kimberly Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 N Richmond St, Appleton, WI 54911 Phone: 920-730-1321 Fax: 920-734-2824
Teri G Metropulos, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 229 S. Morrison, Appleton, WI 54911 Phone: 920-832-2783 Fax: 920-832-2635
Nhia Moua, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 W Grande Market Dr Ste N, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164
Trevor Konetzke, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Glenridge Ct, Appleton, WI 54914 Phone: 920-731-3981

Korah Lee Petrasko, LPC - Medicare Counselor in Appleton, WI