Kristie A Ineichen, PSYD LP is a medicare enrolled "Psychologist - Clinical" provider in Ellsworth, Wisconsin. Her current practice location is
N5683 530th St, Ellsworth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(763) 257-4655.
Kristie A Ineichen is licensed to practice in Wisconsin (license number 4031-57) 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 1871997544.
Healthcare Provider's Profile
| Full Name | Kristie A Ineichen |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | N5683 530th St, Ellsworth, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871997544
- Provider Enumeration Date: 10/09/2014
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022337385
- Enrollment ID: I20240516001377
Medical Identifiers
Medical identifiers for Kristie A Ineichen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871997544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 4031-57 (Wisconsin) | Primary |
| 103TC0700X | Psychologist - Clinical | LP5823 (Minnesota) | Secondary |
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. Kristie A Ineichen allows following entities to bill medicare on her behalf.
| Entity Name | Talkspace Provider Network Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639814049
PECOS PAC ID: 5799136701
Enrollment ID: O20240415002987 |
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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. Kristie A Ineichen 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 |
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Kristie A Ineichen, PSYD LP
N5683 530th St,
Ellsworth, WI 54011-5111
Ph: (763) 257-4655 | Kristie A Ineichen, PSYD LP
N5683 530th St,
Ellsworth, WI 54011-5111
Ph: (763) 257-4655 |
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