Dakota J Kaiser, PHD is a medicare enrolled "Psychologist - Health Service" provider in Wausau, Wisconsin. He graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Primary Connection Health Care, Inc., Tall Pines Behavioral Health Llc and his current practice location is
100 N 72nd Ave, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 301-0267.
Dakota J Kaiser is licensed to practice in Wisconsin (license number 3905-57) 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 1033566088.
Healthcare Provider's Profile
| Full Name | Dakota J Kaiser |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 7 Years |
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| Location | 100 N 72nd Ave, Wausau, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dakota J Kaiser graduated from medical school in 2019
NPI Data:
- NPI Number: 1033566088
- Provider Enumeration Date: 05/19/2016
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587065222
- Enrollment ID: I20210701001272
Medical Identifiers
Medical identifiers for Dakota J Kaiser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033566088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 16670-130 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 3006-226 (Wisconsin) | Secondary |
| 103TH0100X | Psychologist - Health Service | 3905-57 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Primary Connection Health Care, Inc. | 3870577935 | 10 |
| Tall Pines Behavioral Health Llc | 8123554904 | 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. Dakota J Kaiser allows following entities to bill medicare on his behalf.
| Entity Name | Primary Connection Health Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457370744
PECOS PAC ID: 3870577935
Enrollment ID: O20040616000370 |
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| Entity Name | Tall Pines Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215519764
PECOS PAC ID: 8123554904
Enrollment ID: O20241204002580 |
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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. Dakota J Kaiser 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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Dakota J Kaiser, PHD
100 N 72nd Ave,
Wausau, WI 54401-9042
Ph: (715) 301-0267 | Dakota J Kaiser, PHD
100 N 72nd Ave,
Wausau, WI 54401-9042
Ph: (715) 301-0267 |
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