Krista L Doerr, LPC in Jefferson, WI - Medicare Counselor Provider

Krista L Doerr, LPC is a medicare enrolled "Counselor - Professional" provider in Jefferson, Wisconsin. Her current practice location is 1541 Annex Rd, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 674-8190.

Krista L Doerr is licensed to practice in Wisconsin (license number 3826-125) 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 1669602413.

Contact Information

	Krista L Doerr, LPC
	1541 Annex Rd, Jefferson, WI 53549-9803
	(920) 674-8190
	(920) 674-6113

Map and Direction

Healthcare Provider's Profile

Full Name	Krista L Doerr
Gender	Female
Speciality	Counselor - Professional
Location	1541 Annex Rd, Jefferson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669602413
Provider Enumeration Date: 07/14/2009
Last Update Date: 11/01/2010

Medicare PECOS Information:

PECOS PAC ID: 0345426698
Enrollment ID: I20240125004596

Medical Identifiers

Medical identifiers for Krista L Doerr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669602413	NPI	-	NPPES
1669602413	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	3826-125 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	3826-125 (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. Krista L Doerr allows following entities to bill medicare on her behalf.

Entity Name	Jefferson County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371

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. Krista L Doerr 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
Krista L Doerr, LPC 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-8190	Krista L Doerr, LPC 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-8190

Reviews and Comments

Counselor in Jefferson, WI

Brittany Long, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Amanda Sass, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Kimberly Miller, LCSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105
Danielle Graham - Heine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113
Ms. Holly Rae Pagel, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8108 Fax: 920-674-8114
Mrs. Amanda Rae Lightner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8197 Fax: 920-674-6113
Amy Porter, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105

Krista L Doerr, LPC - Medicare Counselor in Jefferson, WI