James Kerckhove, in Onalaska, WI - Medicare Counselor Provider

James Kerckhove, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Onalaska, Wisconsin. His current practice location is 9532 E 16 Frontage Rd, Ste. 100, Onalaska, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 783-0506.

James Kerckhove is licensed to practice in Wisconsin (license number 17423130) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326400722.

Contact Information

	James Kerckhove,
	9532 E 16 Frontage Rd, Ste. 100, Onalaska, WI 54650-6739
	(608) 783-0506
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	James Kerckhove
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	9532 E 16 Frontage Rd, Onalaska, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326400722
Provider Enumeration Date: 03/24/2016
Last Update Date: 03/24/2016

Medicare PECOS Information:

PECOS PAC ID: 6608393277
Enrollment ID: I20250507001241

Medical Identifiers

Medical identifiers for James Kerckhove such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326400722	NPI	-	NPPES
1003150004	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	17423130 (Wisconsin)	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. James Kerckhove allows following entities to bill medicare on his behalf.

Entity Name	Counseling Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063686970 PECOS PAC ID: 3678622784 Enrollment ID: O20090520000373

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. James Kerckhove 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
James Kerckhove, 9532 E 16 Frontage Rd, Ste 100, Onalaska, WI 54650-6739 Ph: () -	James Kerckhove, 9532 E 16 Frontage Rd, Ste. 100, Onalaska, WI 54650-6739 Ph: (608) 783-0506

Reviews and Comments

Counselor in Onalaska, WI

Sherrie L Walter, LPC, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 571 Braund St, Onalaska, WI 54650 Phone: 608-785-7000 Fax: 608-785-7477
Katlyn Becker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9532 E 16 Frontage Rd, Onalaska, WI 54650 Phone: 608-783-0506
Timothy M Bosch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 571 Braund St, Onalaska, WI 54650 Phone: 608-785-7000 Fax: 608-785-7477
Signe M Midelfort-hector, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 123 16th Ave S, Onalaska, WI 54650 Phone: 608-775-2287
Kelsey Ann Martin, LCSW, CSAC, ICS Counselor Medicare: Accepting Medicare Assignments Practice Location: 571 Braund St, Onalaska, WI 54650 Phone: 608-785-7000 Fax: 608-785-7477
Allison Kay Gulbronson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 Braund St, Onalaska, WI 54650 Phone: 608-785-7000
Sheridan Kaatz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1062 Oak Forest Dr Ste 120, Onalaska, WI 54650 Phone: 608-790-9481 Fax: 608-790-9480

James Kerckhove, - Medicare Counselor in Onalaska, WI