Kaho Kracke, MA, CCC-SLP in Stratford, CT - Medicare Speech-Language Pathologist Provider

Kaho Kracke, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Stratford, Connecticut. Her current practice location is 2900 Main St Ste 1d, Stratford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 378-0092.

Kaho Kracke is licensed to practice in Connecticut (license number 006180) 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 1760092043.

Contact Information

	Kaho Kracke, MA, CCC-SLP
	2900 Main St Ste 1d, Stratford, CT 06614-4946
	(203) 378-0092
	(203) 375-4540

Map and Direction

Healthcare Provider's Profile

Full Name	Kaho Kracke
Gender	Female
Speciality	Speech-language Pathologist
Location	2900 Main St Ste 1d, Stratford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760092043
Provider Enumeration Date: 08/03/2020
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 5294277273
Enrollment ID: I20240605002600

Medical Identifiers

Medical identifiers for Kaho Kracke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760092043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	006180 (Connecticut)	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. Kaho Kracke allows following entities to bill medicare on her behalf.

Provider Name	Permanente Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Kaho 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
Kaho Kracke, MA, CCC-SLP 1931 Black Rock Tpke, Fairfield, CT 06825-3506 Ph: (203) 384-8681	Kaho Kracke, MA, CCC-SLP 2900 Main St Ste 1d, Stratford, CT 06614-4946 Ph: (203) 378-0092

Reviews and Comments

Speech-Language Pathologist in Stratford, CT

Communicate Anew Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35 Cedar St, Stratford, CT 06615 Phone: 203-522-1708
Mrs. Carla Y. Loxsom, M. ED Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 304 Housatonic Ave, Stratford, CT 06615 Phone: 203-375-2577
Kaelyn Bonaventura, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 120 Old Coach Ln, Stratford, CT 06614 Phone: 203-522-0646
Ms. Meredith D'agostino, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 380 Chapel St, Stratford, CT 06614 Phone: 203-882-1838
Lauren Finnegan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 175 Nutmeg Ln, Stratford, CT 06614 Phone: 203-394-1496
Elizabeth Benz, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Main St, Suite 1d, Stratford, CT 06614 Phone: 203-378-0092 Fax: 203-375-4540
Adriana Chamberlain, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Main St, Suite 1d, Stratford, CT 06614 Phone: 203-378-0092 Fax: 203-375-4540

Kaho Kracke, MA, CCC-SLP - Medicare Speech-Language Pathologist in Stratford, CT