Kathleen M Bullard, MS, LPC-IT, SAC-IT in Kenosha, WI

Kathleen M Bullard, MS, LPC-IT, SAC-IT is a medicare enrolled "Counselor" provider in Kenosha, Wisconsin. Her current practice location is 4003 80th St Ste 101, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 806-1467.

Kathleen M Bullard is licensed to practice in * (Not Available) (license number ) 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 1033550934.

Contact Information

	Kathleen M Bullard, MS, LPC-IT, SAC-IT
	4003 80th St Ste 101, Kenosha, WI 53142-4995
	(262) 806-1467
	(262) 661-7702

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen M Bullard
Gender	Female
Speciality	Counselor
Location	4003 80th St Ste 101, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033550934
Provider Enumeration Date: 07/09/2013
Last Update Date: 03/01/2025

Medicare PECOS Information:

PECOS PAC ID: 8022530559
Enrollment ID: I20250313002579

Medical Identifiers

Medical identifiers for Kathleen M Bullard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033550934	NPI	-	NPPES
1063993038	Medicaid	WI
1033550934	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1680-130 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	6363-125 (Wisconsin)	Secondary
101Y00000X	Counselor	(* (Not Available))	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. Kathleen M Bullard allows following entities to bill medicare on her behalf.

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20220826002066

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. Kathleen M Bullard 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
Kathleen M Bullard, MS, LPC-IT, SAC-IT 647 W Main St Ste 900, Lake Geneva, WI 53147-1985 Ph: (262) 806-1467	Kathleen M Bullard, MS, LPC-IT, SAC-IT 4003 80th St Ste 101, Kenosha, WI 53142-4995 Ph: (262) 806-1467

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Medicare Enrolled Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Jami Lynn Pomeroy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Aislynn Nall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6123 Green Bay Rd Ste 240, Kenosha, WI 53142 Phone: 262-261-6998 Fax: 262-748-1407
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2108 63rd St, Kenosha, WI 53143 Phone: 262-652-2406

Kathleen M Bullard, MS, LPC-IT, SAC-IT - Medicare Counselor in Kenosha, WI