Jackie K Richter, CSAC in La Crosse, WI - Medicare Mental Health Counselor Provider

Jackie K Richter, CSAC is a medicare enrolled "Counselor - Mental Health" provider in La Crosse, Wisconsin. She graduated from healthcare school in 2011 and has 14 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Mayo Clinic Health System-southwest Wisconsin Region Inc and her current practice location is 212 11th St S, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 392-9555.

Jackie K Richter is licensed to practice in Wisconsin (license number 5179) 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 1447511183.

Contact Information

	Jackie K Richter, CSAC
	212 11th St S, La Crosse, WI 54601-4116
	(608) 392-9555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jackie K Richter
Gender	Female
Speciality	Mental Health Counselor
Experience	14 Years
Location	212 11th St S, La Crosse, 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:

Jackie K Richter graduated from medical school in 2011

NPI Data:

NPI Number: 1447511183
Provider Enumeration Date: 05/30/2012
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9638520679
Enrollment ID: I20240104000208

Medical Identifiers

Medical identifiers for Jackie K Richter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447511183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	15750 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	5179 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	5179 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic Health System-southwest Wisconsin Region Inc	0345152443	458

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. Jackie K Richter allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

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. Jackie K Richter 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
Jackie K Richter, CSAC Po Box 1510, Eau Claire, WI 54702-1510 Ph: (715) 838-3635	Jackie K Richter, CSAC 212 11th St S, La Crosse, WI 54601-4116 Ph: (608) 392-9555

Reviews and Comments

Counselor in La Crosse, WI

Alicia S Skiles, QTT Counselor Medicare: Medicare Enrolled Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002
Rachel R Unseth, LPC Counselor Medicare: May Accept Medicare Assignments Practice Location: 115 5th Ave S Ste 523, La Crosse, WI 54601 Phone: 608-797-5679
Tanya L Kessen, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 205 5th Ave S Ste 508, La Crosse, WI 54601 Phone: 608-387-9638 Fax: 608-377-7488
Samina L Grimes, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2216 Kane St, La Crosse, WI 54603 Phone: 608-385-4004
Mark L Taylor, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 South Ave, La Crosse, WI 54601 Phone: 608-775-2287
Ms. Elizabeth Lou Bierly, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002
Deborah Stelmach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Main St Ste 301, La Crosse, WI 54601 Phone: 608-519-5906 Fax: 608-519-5908

Jackie K Richter, CSAC - Medicare Counselor in La Crosse, WI