Mrs Tricia Ann Kerker, LPC in Green Bay, WI - Medicare Counselor Provider

Mrs Tricia Ann Kerker, LPC is a medicare enrolled "Counselor - Professional" provider in Green Bay, Wisconsin. Her current practice location is 480 Pilgrim Way # 1300-a, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 610-5119.

Mrs Tricia Ann Kerker is licensed to practice in Wisconsin (license number 4678) 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 1063796506.

Contact Information

	Mrs Tricia Ann Kerker, LPC
	480 Pilgrim Way # 1300-a, Green Bay, WI 54304-5280
	(920) 610-5119
	(920) 610-5120

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tricia Ann Kerker
Gender	Female
Speciality	Counselor - Professional
Location	480 Pilgrim Way # 1300-a, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063796506
Provider Enumeration Date: 10/03/2011
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 5597118554
Enrollment ID: I20240126000894

Medical Identifiers

Medical identifiers for Mrs Tricia Ann Kerker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063796506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	15606-131 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	4678 (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. Mrs Tricia Ann Kerker allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Counseling Wi Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171

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 Tricia Ann Kerker 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 Tricia Ann Kerker, LPC 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566	Mrs Tricia Ann Kerker, LPC 480 Pilgrim Way # 1300-a, Green Bay, WI 54304-5280 Ph: (920) 610-5119

Reviews and Comments

Counselor in Green Bay, WI

Louise Clara Daul, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 N Oakland Ave, Green Bay, WI 54303 Phone: 920-770-4088 Fax: 651-705-0026
Kristin Flannery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2920 S Webster Ave, Green Bay, WI 54301 Phone: 920-639-1914
Mr. John Barajas, LPC-IT, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 424 S Monroe Ave Ste 201, Green Bay, WI 54301 Phone: 920-445-0170 Fax: 920-445-0174
Robyn L Rickert, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 E Walnut St, Suite 406, Green Bay, WI 54301 Phone: 920-884-1187 Fax: 920-227-4100
Joanne Marie Torres, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2640 West Point Road, Green Bay, WI 54304 Phone: 920-490-3790
Mr. Christopher Anthony Buckman, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 6th St, Green Bay, WI 54304 Phone: 920-497-6161 Fax: 920-498-0476
Jodi Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 Verlin Rd Ste 203, Green Bay, WI 54311 Phone: 920-655-0859

Mrs Tricia Ann Kerker, LPC - Medicare Counselor in Green Bay, WI