Kelly A Wieczorek, LPCC in Independence, OH - Medicare Counselor Provider

Kelly A Wieczorek, LPCC is a medicare enrolled "Counselor - Professional" provider in Independence, Ohio. Her current practice location is 6500 Rockside Rd Ste 385, Independence, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 468-5000.

Kelly A Wieczorek is licensed to practice in Ohio (license number E.2404015) 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 1427677921.

Contact Information

	Kelly A Wieczorek, LPCC
	6500 Rockside Rd Ste 385, Independence, OH 44131-2353
	(216) 468-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly A Wieczorek
Gender	Female
Speciality	Counselor - Professional
Location	6500 Rockside Rd Ste 385, Independence, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427677921
Provider Enumeration Date: 04/14/2020
Last Update Date: 03/04/2025

Medicare PECOS Information:

PECOS PAC ID: 2466859525
Enrollment ID: I20250312003282

Medical Identifiers

Medical identifiers for Kelly A Wieczorek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427677921	NPI	-	NPPES
2871101	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	E.2404015 (Ohio)	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. Kelly A Wieczorek allows following entities to bill medicare on her behalf.

Entity Name	Psychological & Behavioral Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363

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. Kelly A Wieczorek 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
Kelly A Wieczorek, LPCC 6500 Rockside Rd Ste 385, Independence, OH 44131-2353 Ph: (216) 468-5000	Kelly A Wieczorek, LPCC 6500 Rockside Rd Ste 385, Independence, OH 44131-2353 Ph: (216) 468-5000

Reviews and Comments

Counselor in Independence, OH

Ms. Julia Kathryn Cartier, PCC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6701 Rockside Rd, Suite 240, Independence, OH 44131 Phone: 216-986-1170 Fax: 216-986-1016
Ms. Patricia Landon Kuivinen, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4700 Rockside Rd Ste 135, Independence, OH 44131 Phone: 330-518-8334
Colleen Mcquaide, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131 Phone: 440-554-7626
Nicholette Leanza, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 6500 Rockside Rd Ste 385, Independence, OH 44131 Phone: 216-468-5000
Hannah Laurene Suttles-mascio, LPCC-S Counselor Medicare: Medicare Enrolled Practice Location: 5905 Brecksville Rd, Independence, OH 44131 Phone: 330-646-8800
Brianne J Tolley, Counselor Medicare: Accepting Medicare Assignments Practice Location: 5905 Brecksville Rd, Independence, OH 44131 Phone: 216-524-4673
Mr. Timothy Kelly Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 6200 Rockside Woods Blvd N Ste 305, Independence, OH 44131 Phone: 234-410-5775

Kelly A Wieczorek, LPCC - Medicare Counselor in Independence, OH