Mrs Jennifer Hedke, is a medicare enrolled "Counselor - Professional" provider in Casco, Wisconsin. Her current practice location is
421 Church Ave, Casco, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 770-2263.
Mrs Jennifer Hedke is licensed to practice in Colorado (license number LPC.0020446) 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 1952945446.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer Hedke |
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| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 421 Church Ave, Casco, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952945446
- Provider Enumeration Date: 10/29/2019
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840633640
- Enrollment ID: I20240208002816
Medical Identifiers
Medical identifiers for Mrs Jennifer Hedke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952945446 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 8772-125 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | BBH-LCPC-LIC-39050 (Montana) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0020446 (Colorado) | 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. Mrs Jennifer Hedke allows following entities to bill medicare on her behalf.
| Entity Name | Creative Counseling And Studio, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205477585
PECOS PAC ID: 9830532621
Enrollment ID: O20240208002519 |
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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. Mrs Jennifer Hedke 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 |
|---|
Mrs Jennifer Hedke,
421 Church Ave,
Casco, WI 54205-9711
Ph: () - | Mrs Jennifer Hedke,
421 Church Ave,
Casco, WI 54205-9711
Ph: (920) 770-2263 |
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