Kathryn E Koenig-leuck, PSYD is a medicare enrolled "Psychologist" provider in West Allis, Wisconsin. Her current practice location is
1205 S 70th St Ste 301, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 475-2788.
Kathryn E Koenig-leuck is licensed to practice in Wisconsin (license number 3757-57) 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 1679098743.
Healthcare Provider's Profile
| Full Name | Kathryn E Koenig-leuck |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1205 S 70th St Ste 301, West Allis, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679098743
- Provider Enumeration Date: 08/09/2017
- Last Update Date: 09/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507293818
- Enrollment ID: I20200226002434
Medical Identifiers
Medical identifiers for Kathryn E Koenig-leuck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679098743 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 6571 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 3757-57 (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. Kathryn E Koenig-leuck allows following entities to bill medicare on her behalf.
| Entity Name | Professional Services Group Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619024262
PECOS PAC ID: 8224296454
Enrollment ID: O20120220000742 |
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| Entity Name | Milwaukee Behavioral Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497324115
PECOS PAC ID: 4789089954
Enrollment ID: O20220112000844 |
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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. Kathryn E Koenig-leuck 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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Kathryn E Koenig-leuck, PSYD
1205 S 70th St,
West Allis, WI 53214-3167
Ph: (414) 475-2788 | Kathryn E Koenig-leuck, PSYD
1205 S 70th St Ste 301,
West Allis, WI 53214-3171
Ph: (414) 475-2788 |
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