Mr Jefferson H Kraczek, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Mackay, Idaho. He graduated from healthcare school in 1995 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
4433 Beverland Road, Mackay, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 588-2770.
Mr Jefferson H Kraczek is licensed to practice in Idaho (license number LCSW27821) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093087033.
Healthcare Provider's Profile
Full Name | Mr Jefferson H Kraczek |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 30 Years |
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Location | 4433 Beverland Road, Mackay, Idaho |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Jefferson H Kraczek graduated from medical school in 1995
NPI Data:
- NPI Number: 1093087033
- Provider Enumeration Date: 02/07/2012
- Last Update Date: 06/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325266505
- Enrollment ID: I20140829001772
Medical Identifiers
Medical identifiers for Mr Jefferson H Kraczek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093087033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCSW27821 (Idaho) | 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 Jefferson H Kraczek allows following entities to bill medicare on his behalf.
Entity Name | Badger Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619134277 PECOS PAC ID: 3173794187 Enrollment ID: O20110923000401 |
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Entity Name | Idaho Psychological Resources Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063918464 PECOS PAC ID: 6709120223 Enrollment ID: O20181210001966 |
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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 Jefferson H Kraczek 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 Jefferson H Kraczek, LCSW Po Box 402, Mackay, ID 83251-0402 Ph: (208) 588-2770 | Mr Jefferson H Kraczek, LCSW 4433 Beverland Road, Mackay, ID 83251-8048 Ph: (208) 588-2770 |
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