Prairie L Degraw, LPC in Janesville, WI - Medicare Counselor Provider

Prairie L Degraw, LPC is a medicare enrolled "Counselor - Professional" provider in Janesville, Wisconsin. Her current practice location is 17 S. River St., Suite 254, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 755-5260.

Prairie L Degraw is licensed to practice in Wisconsin (license number 7446) 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 1649620725.

Contact Information

	Prairie L Degraw, LPC
	17 S. River St., Suite 254, Janesville, WI 53548-3863
	(608) 755-5260
	(608) 755-5267

Map and Direction

Healthcare Provider's Profile

Full Name	Prairie L Degraw
Gender	Female
Speciality	Counselor - Professional
Location	17 S. River St., Janesville, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649620725
Provider Enumeration Date: 06/20/2016
Last Update Date: 10/11/2019

Medicare PECOS Information:

PECOS PAC ID: 0941651350
Enrollment ID: I20240110003025

Medical Identifiers

Medical identifiers for Prairie L Degraw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649620725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	3064226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	7446 (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. Prairie L Degraw allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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. Prairie L Degraw 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
Prairie L Degraw, LPC 17 S. River St., Suite 254, Janesville, WI 53548-3863 Ph: (608) 755-5260	Prairie L Degraw, LPC 17 S. River St., Suite 254, Janesville, WI 53548-3863 Ph: (608) 755-5260

Reviews and Comments

Counselor in Janesville, WI

Michael G Braun, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4502
Kamela D. Cisneros, Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 Fax: 608-756-0174
Carol Ann Ward, LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942
Ms. Christina Renee Mcginn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-847-7575
Tamra J Oman, CFT 14379130 Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Lane, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4516
Jayme St. John, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-757-5625
Rebecca L Davis, LPC-IT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6530 Fax: 608-756-6564

Prairie L Degraw, LPC - Medicare Counselor in Janesville, WI