| Dr. Kracke And Associates P A | |
|
422 17th St Lewiston ID 83501-2526 | |
| (208) 743-4680 | |
| (208) 743-1756 |
| Full Name | Dr. Kracke And Associates P A |
|---|---|
| Speciality | Counselor |
| Location | 422 17th St, Lewiston, Idaho |
| Authorized Official Name and Position | Kevin R. Kracke (PRESIDENT) |
| Authorized Official Contact | 2087434680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kracke And Associates P A Po Box 2145 Lewiston ID 83501-1465 Ph: (208) 743-4680 | Dr. Kracke And Associates P A 422 17th St Lewiston ID 83501-2526 Ph: (208) 743-4680 |
| NPI Number | 1851448781 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951206796 |
|---|---|
| Medicare Enrollment ID | O20031204000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851448781 | NPI | - | NPPES |
| N4478 | Other | ID | BLUE CROSS OF IDAHO |
| 000010015963 | Other | ID | REGENCE BLUESHIELD OF IDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PSY189 (Idaho) | Primary |
| Provider Name | Kevin R Kracke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164416749 PECOS PAC ID: 4082519830 Enrollment ID: I20040108000543 |
| Provider Name | Teri E Rainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407049497 PECOS PAC ID: 3577906429 Enrollment ID: I20240207002096 |
| Provider Name | Carrie L Gurgel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710970462 PECOS PAC ID: 5294178174 Enrollment ID: I20240207002965 |
William R. Bozarth, M.d., P.s. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 6th St, Suite 102, Lewiston, ID 83501 Phone: 208-746-3320 Fax: 208-746-8717 | |
Serenity Treatment Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1229 Main St Ste 101, Lewiston, ID 83501 Phone: 208-743-5906 Fax: 833-264-6643 | |
Ascendant Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Adams Ln, Lewiston, ID 83501 Phone: 208-310-9220 | |
Phillips Agency, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-746-7266 Fax: 208-798-5169 | |
Bruns Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 17th St, Lewiston, ID 83501 Phone: 208-746-3398 | |
Kristy Kuehfuss, Phd, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843 | |
Idaho Dept Of Health & Welfare Reg Ii Amh Lewiston Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1118 F St, Lewiston, ID 83501 Phone: 208-799-4440 Fax: 208-799-5171 |