Mr Jay William Gaethke, LPC, SAC, CSW in Elm Grove, WI

Mr Jay William Gaethke, LPC, SAC, CSW is a medicare enrolled "Counselor - Professional" provider in Elm Grove, Wisconsin. His current practice location is 500 Elm Grove Rd, Suite 100, Elm Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 782-2090.

Mr Jay William Gaethke is licensed to practice in Wisconsin (license number 3912) 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 1346325446.

Contact Information

	Mr Jay William Gaethke, LPC, SAC, CSW
	500 Elm Grove Rd, Suite 100, Elm Grove, WI 53122-2546
	(262) 782-2090
	(262) 782-2092

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jay William Gaethke
Gender	Male
Speciality	Counselor - Professional
Location	500 Elm Grove Rd, Elm Grove, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346325446
Provider Enumeration Date: 10/26/2006
Last Update Date: 05/14/2024

Medicare PECOS Information:

PECOS PAC ID: 1759447782
Enrollment ID: I20240104000253

Medical Identifiers

Medical identifiers for Mr Jay William Gaethke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346325446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	3912 (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. Mr Jay William Gaethke allows following entities to bill medicare on his behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

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. Mr Jay William Gaethke 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
Mr Jay William Gaethke, LPC, SAC, CSW 500 Elm Grove Rd, Suite 100, Elm Grove, WI 53122-2546 Ph: (262) 782-2090	Mr Jay William Gaethke, LPC, SAC, CSW 500 Elm Grove Rd, Suite 100, Elm Grove, WI 53122-2546 Ph: (262) 782-2090

Reviews and Comments

Counselor in Elm Grove, WI

Dr. Ivanna M Richardson, EDD LMFT LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12970 W Bluemound Rd, #105, Elm Grove, WI 53122 Phone: 262-787-2907
Mr. Leslie Harold Prausa, LPC, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 12425 Knoll Rd, Suite 110, Elm Grove, WI 53122 Phone: 262-780-9788 Fax: 262-432-0045
Jessica Sullivan, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 Elm Grove Rd Ste 303, Elm Grove, WI 53122 Phone: 414-375-9314
John Michael Duffey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122 Phone: 262-785-9188
Nancy Winston, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 15285 Watertown Plank Rd, Elm Grove, WI 53122 Phone: 262-797-2818 Fax: 262-797-2814
Coleen Rae Kittleson, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 12970 W Bluemound Rd, 308, Elm Grove, WI 53122 Phone: 262-780-1020 Fax: 262-780-1022
Autumn Verstegan Melian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122 Phone: 262-785-9188

Mr Jay William Gaethke, LPC, SAC, CSW - Medicare Counselor in Elm Grove, WI