Kaleena J Vanderwyst, LPC is a medicare enrolled "Counselor - Professional" provider in Turtle Lake, Wisconsin. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice The Lakes Community Health Center Inc and her current practice location is
730 Swede Ave, Turtle Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 986-2599.
Kaleena J Vanderwyst is licensed to practice in Wisconsin (license number 5197) 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 1598416240.
Healthcare Provider's Profile
| Full Name | Kaleena J Vanderwyst |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 5 Years |
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| Location | 730 Swede Ave, Turtle Lake, Wisconsin |
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| 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:
- Kaleena J Vanderwyst graduated from medical school in 2021
NPI Data:
- NPI Number: 1598416240
- Provider Enumeration Date: 01/14/2022
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234673005
- Enrollment ID: I20240703002535
Medical Identifiers
Medical identifiers for Kaleena J Vanderwyst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598416240 | NPI | - | NPPES |
| 100191525 | Medicaid | WI | |
| 11071 | Other | WI | STATE LICENSE (LPC) |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 5197 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The Lakes Community Health Center Inc | 0840366654 | 109 |
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. Kaleena J Vanderwyst allows following entities to bill medicare on her behalf.
| Entity Name | The Lakes Community Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811178825 PECOS PAC ID: 0840366654 Enrollment ID: O20101019000186 |
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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. Kaleena J Vanderwyst 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 |
Kaleena J Vanderwyst, LPC 15735 W Us Highway 63, Hayward, WI 54843-6475 Ph: (715) 634-2541 | Kaleena J Vanderwyst, LPC 730 Swede Ave, Turtle Lake, WI 54889-0000 Ph: (715) 986-2599 |
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