Dr Kevin Richard Kracke, PHD in Lewiston, ID - Medicare Clinical Psychologist Provider

Dr Kevin Richard Kracke, PHD is a medicare enrolled "Psychologist" provider in Lewiston, Idaho. He graduated from medical school in 1980 and has 44 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Dr Kracke And Associates Pa and his current practice location is 422 17th St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 743-4680.

Dr Kevin Richard Kracke is licensed to practice in Idaho (license number PSY189) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164416749.

Contact Information

	Dr Kevin Richard Kracke, PHD
	422 17th St, Lewiston, ID 83501-2526
	(208) 743-4680
	(208) 743-1756

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kevin Richard Kracke
Gender	Male
Speciality	Clinical Psychologist
Experience	44 Years
Location	422 17th St, Lewiston, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Richard Kracke graduated from medical school in 1980

NPI Data:

NPI Number: 1164416749
Provider Enumeration Date: 09/09/2005
Last Update Date: 03/15/2013

Medicare PECOS Information:

PECOS PAC ID: 4082519830
Enrollment ID: I20040108000543

Medical Identifiers

Medical identifiers for Dr Kevin Richard Kracke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164416749	NPI	-	NPPES
N4478	Other	ID	BLUE CROSS OF IDAHO
000010015963	Other	ID	BLUESHIELD OF IDAHO
806177700	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY189 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dr Kracke And Associates Pa	1951206796	2

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. Dr Kevin Richard Kracke allows following entities to bill medicare on his behalf.

Entity Name	Dr Kracke And Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851448781 PECOS PAC ID: 1951206796 Enrollment ID: O20031204000450

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. Dr Kevin Richard Kracke 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
Dr Kevin Richard Kracke, PHD Po Box 2145, Lewiston, ID 83501-1465 Ph: (208) 743-4680	Dr Kevin Richard Kracke, PHD 422 17th St, Lewiston, ID 83501-2526 Ph: (208) 743-4680

Reviews and Comments

Psychologist in Lewiston, ID

Dr. Kristy Anne Kuehfuss, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1418 Grelle Ave, Lewiston, ID 83501 Phone: 208-631-5843
Rebecca J Alexander, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 532 Bryden Ave, Lewiston, ID 83501 Phone: 208-798-5168 Fax: 208-798-5169
Dr. Leanne Parker, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1720 18th Ave, Lewiston, ID 83501 Phone: 208-746-4097
Dr. Richard Ballou Gallaher Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 513 Thain Road, Lewiston, ID 83501 Phone: 208-743-0150 Fax: 208-743-5358
Philip N Mackinnon, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5554
Dr. Jarod John Fitzgerald, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1203 Idaho St, Lewiston, ID 83501 Phone: 208-848-8300

Dr Kevin Richard Kracke, PHD - Medicare Psychologist in Lewiston, ID