Mr Brock Conrad Klement, LPC in Hudson, WI - Medicare Counselor Provider

Mr Brock Conrad Klement, LPC is a medicare enrolled "Counselor - Professional" provider in Hudson, Wisconsin. His current practice location is 2501 Hanley Rd Ste 201, Hudson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (534) 544-5247.

Mr Brock Conrad Klement is licensed to practice in Wisconsin (license number 10038-125) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366107484.

Contact Information

	Mr Brock Conrad Klement, LPC
	2501 Hanley Rd Ste 201, Hudson, WI 54016-8786
	(534) 544-5247
	(534) 544-5248

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Brock Conrad Klement
Gender	Male
Speciality	Counselor - Professional
Location	2501 Hanley Rd Ste 201, Hudson, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366107484
Provider Enumeration Date: 11/03/2021
Last Update Date: 11/02/2022

Medicare PECOS Information:

PECOS PAC ID: 2961855168
Enrollment ID: I20240124001132

Medical Identifiers

Medical identifiers for Mr Brock Conrad Klement such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366107484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-18611 (Arizona)	Secondary
101YP2500X	Counselor - Professional	2751 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	10038-125 (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. Mr Brock Conrad Klement allows following entities to bill medicare on his behalf.

Entity Name	Nystrom & Associates Counseling Wi Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659977866 PECOS PAC ID: 1052729464 Enrollment ID: O20210426000171

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. Mr Brock Conrad Klement 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
Mr Brock Conrad Klement, LPC 527 13th St S Apt 221, Hudson, WI 54016-2157 Ph: (928) 814-3279	Mr Brock Conrad Klement, LPC 2501 Hanley Rd Ste 201, Hudson, WI 54016-8786 Ph: (534) 544-5247

Reviews and Comments

Counselor in Hudson, WI

Rochelle K Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St Ste 100, Hudson, WI 54016 Phone: 715-381-5437 Fax: 715-381-5438
Ms. Joan N Fuller, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 4th St, Suite 160, Hudson, WI 54016 Phone: 763-210-9966 Fax: 763-210-6886
Renee L. Vannocker, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Ste 100, Hudson, WI 54016 Phone: 715-381-5437 Fax: 715-381-5438
Amelia L Evans, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2910 Enloe St, Suite 104, Hudson, WI 54016 Phone: 715-377-0000 Fax: 715-377-0010
William Oelke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Dominion Dr Ste A, Hudson, WI 54016 Phone: 612-327-6620 Fax: 952-938-8838
Sandra L Larson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 Stageline Rd, Hudson, WI 54016 Phone: 715-531-6760
Dr. Leah A Burton, PSY.D., L.P. Counselor Medicare: Accepting Medicare Assignments Practice Location: 901 4th St, C/o Collaborative Counseling, Llc, Hudson, WI 54016 Phone: 715-760-4116 Fax: 763-210-6886

Mr Brock Conrad Klement, LPC - Medicare Counselor in Hudson, WI