Dr Teri Marisa Krakovich, PHD in Fort Wayne, IN - Medicare Psychologist Provider

Dr Teri Marisa Krakovich, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. Her current practice location is 3512 Stellhorn Rd, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 483-9081.

Dr Teri Marisa Krakovich is licensed to practice in Indiana (license number 20043109A) 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 1649788613.

Contact Information

	Dr Teri Marisa Krakovich, PHD
	3512 Stellhorn Rd, Fort Wayne, IN 46815-4631
	(260) 483-9081
	(260) 483-9196

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Teri Marisa Krakovich
Gender	Female
Speciality	Psychologist - Clinical
Location	3512 Stellhorn Rd, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649788613
Provider Enumeration Date: 01/12/2018
Last Update Date: 12/26/2019

Medicare PECOS Information:

PECOS PAC ID: 1456786987
Enrollment ID: I20200110001112

Medical Identifiers

Medical identifiers for Dr Teri Marisa Krakovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649788613	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043109A (Indiana)	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. Dr Teri Marisa Krakovich allows following entities to bill medicare on her behalf.

Entity Name	Jane Pauley Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730488818 PECOS PAC ID: 7618152729 Enrollment ID: O20150223000139

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 Marisa Krakovich 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 Marisa Krakovich, PHD Po Box 392552, Pittsburgh, PA 15251-9500 Ph: (260) 483-9081	Dr Teri Marisa Krakovich, PHD 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 Ph: (260) 483-9081

Reviews and Comments

Psychologist in Fort Wayne, IN

Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559

Dr Teri Marisa Krakovich, PHD - Medicare Psychologist in Fort Wayne, IN