Dr Teri L Kaczmarek, PSYD in Fond Du Lac, WI - Medicare Clinical Psychologist Provider

Dr Teri L Kaczmarek, PSYD is a medicare enrolled "Psychologist" provider in Fond Du Lac, Wisconsin. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 210 Wisconsin American Dr, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 907-7000.

Dr Teri L Kaczmarek is licensed to practice in Wisconsin (license number 2066-57) 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 1326330291.

Contact Information

	Dr Teri L Kaczmarek, PSYD
	210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999
	(920) 907-7000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Teri L Kaczmarek
Gender	Female
Speciality	Clinical Psychologist
Experience	28 Years
Location	210 Wisconsin American Dr, Fond Du Lac, 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:

Dr Teri L Kaczmarek graduated from medical school in 1996

NPI Data:

NPI Number: 1326330291
Provider Enumeration Date: 05/10/2011
Last Update Date: 05/21/2024

Medicare PECOS Information:

PECOS PAC ID: 9234307216
Enrollment ID: I20110718000578

Medical Identifiers

Medical identifiers for Dr Teri L Kaczmarek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326330291	NPI	-	NPPES
39143700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2066-57 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3269

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 Teri L Kaczmarek allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Teri L Kaczmarek 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 Teri L Kaczmarek, PSYD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Dr Teri L Kaczmarek, PSYD 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 Ph: (920) 907-7000

Reviews and Comments

Psychologist in Fond Du Lac, WI

Dr. Espen Klausen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3529
Dr. Domenick Tirabassi Iv, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8492 Fax: 920-926-8903
Nancy L Goranson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885
Joseph Haney, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3527
Clare Lawlor, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 847-331-2227 Fax: 920-926-8933
Troy William Sheide, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 498 Ruggles St, Fond Du Lac, WI 54935 Phone: 801-703-6192

Dr Teri L Kaczmarek, PSYD - Medicare Psychologist in Fond Du Lac, WI