Ann K Kolocek, PHD in Beaver Dam, WI - Medicare Clinical Psychologist Provider

Ann K Kolocek, PHD is a medicare enrolled "Psychologist" provider in Beaver Dam, Wisconsin. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 200 Front St, Suite 3d, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 885-2780.

Ann K Kolocek is licensed to practice in Wisconsin (license number 1935-57) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1538181169.

Contact Information

	Ann K Kolocek, PHD
	200 Front St, Suite 3d, Beaver Dam, WI 53916-1667
	(920) 885-2780
	(920) 885-2788

Map and Direction

Healthcare Provider's Profile

Full Name	Ann K Kolocek
Gender	Female
Speciality	Clinical Psychologist
Experience	30 Years
Location	200 Front St, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ann K Kolocek graduated from medical school in 1994

NPI Data:

NPI Number: 1538181169
Provider Enumeration Date: 07/24/2006
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 5092610642
Enrollment ID: I20080208000597

Medical Identifiers

Medical identifiers for Ann K Kolocek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538181169	NPI	-	NPPES
39689100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1935057 (Wisconsin)	Secondary
103T00000X	Psychologist	1935-57 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waupun Memorial Hospital	Waupun, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

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. Ann K Kolocek allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Ann K Kolocek 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
Ann K Kolocek, PHD 200 Front St, Suite 3d, Beaver Dam, WI 53916-1667 Ph: (920) 885-2780	Ann K Kolocek, PHD 200 Front St, Suite 3d, Beaver Dam, WI 53916-1667 Ph: (920) 885-2780

Reviews and Comments

Psychologist in Beaver Dam, WI

Dr. Eugene P Philipp Jr., PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Front Street, Suite 3d, Beaver Dam, WI 53916 Phone: 920-885-2780 Fax: 920-885-2788
Dr. Raymond Michael Wood, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 N. Lincoln Avenue, Beaver Dam, WI 53916 Phone: 920-887-8751 Fax: 920-887-3977
Yuliana Iniguez, MS, LPC-IT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 209 S University Ave, Beaver Dam, WI 53916 Phone: 414-839-2240
Linda Nauth, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 108 N Lincoln Ave, Beaver Dam, WI 53916 Phone: 920-887-8751
Dr. Cheryl Joy Roets, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 705 S University Ave Ste 200, Beaver Dam, WI 53916 Phone: 920-887-9272 Fax: 920-885-4752
Ms. Sionag M Black, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Front Street, Suite 3d, Beaver Dam, WI 53916 Phone: 920-885-2780 Fax: 920-885-2788

Ann K Kolocek, PHD - Medicare Psychologist in Beaver Dam, WI