Kerry Ann Kruk-borisov, LPC, ATR-BC, CSAC in Norfolk, VA

Kerry Ann Kruk-borisov, LPC, ATR-BC, CSAC is a medicare enrolled "Counselor - Professional" provider in Norfolk, Virginia. Her current practice location is 2200 Colonial Ave Ste 12, Norfolk, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 937-5780.

Kerry Ann Kruk-borisov is licensed to practice in Virginia (license number 0701005892) 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 1316390420.

Contact Information

	Kerry Ann Kruk-borisov, LPC, ATR-BC, CSAC
	2200 Colonial Ave Ste 12, Norfolk, VA 23517-1919
	(757) 937-5780
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kerry Ann Kruk-borisov
Gender	Female
Speciality	Counselor - Professional
Location	2200 Colonial Ave Ste 12, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316390420
Provider Enumeration Date: 07/14/2016
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 2163951054
Enrollment ID: I20250122001162

Medical Identifiers

Medical identifiers for Kerry Ann Kruk-borisov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316390420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	0710102187 (Virginia)	Secondary
221700000X	Art Therapist	0701005892 (Virginia)	Secondary
101YP2500X	Counselor - Professional	0701005892 (Virginia)	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. Kerry Ann Kruk-borisov allows following entities to bill medicare on her behalf.

Entity Name	Rewired Canvas Psychotherapy, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457171563 PECOS PAC ID: 1254860141 Enrollment ID: O20250122001021

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. Kerry Ann Kruk-borisov 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
Kerry Ann Kruk-borisov, LPC, ATR-BC, CSAC 3140 Herbert St, Norfolk, VA 23513-2302 Ph: (757) 589-3498	Kerry Ann Kruk-borisov, LPC, ATR-BC, CSAC 2200 Colonial Ave Ste 12, Norfolk, VA 23517-1919 Ph: (757) 937-5780

Reviews and Comments

Counselor in Norfolk, VA

Kelly Patino Trejo, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7931 Fax: 757-668-9132
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Ruth H Bybee, LPC Counselor Medicare: Medicare Enrolled Practice Location: 208 E Plume St Ste 327b, Norfolk, VA 23510 Phone: 757-637-0840
Lauren P Jennings, LPC, LMFT, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 N Center Dr Suite 141, Interstate Corporate Center Building 11, Norfolk, VA 23502 Phone: 757-466-0700 Fax: 757-461-4826
Ms. Susan Adams Niedenthal, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 Newtown Rd, Suite 300, Norfolk, VA 23502 Phone: 757-466-3336 Fax: 757-455-5750
Jamee Reese, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Tidewater Dr, Ste. A, Norfolk, VA 23504 Phone: 757-533-9242
Rachel Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7460 Central Business Park Dr, Norfolk, VA 23513 Phone: 757-644-6391

Kerry Ann Kruk-borisov, LPC, ATR-BC, CSAC - Medicare Counselor in Norfolk, VA