Mrs Janelle Kathleen Hafermann, LPC, CSAC, ICS in Wisconsin Rapids, WI

Mrs Janelle Kathleen Hafermann, LPC, CSAC, ICS is a medicare enrolled "Counselor - Professional" provider in Wisconsin Rapids, Wisconsin. Her current practice location is 320 W Grand Ave Ste 204, Wisconsin Rapids, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 421-1107.

Mrs Janelle Kathleen Hafermann is licensed to practice in Wisconsin (license number 10484-125) 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 1174952352.

Contact Information

	Mrs Janelle Kathleen Hafermann, LPC, CSAC, ICS
	320 W Grand Ave Ste 204, Wisconsin Rapids, WI 54495-2781
	(715) 421-1107
	(715) 421-1108

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Janelle Kathleen Hafermann
Gender	Female
Speciality	Counselor - Professional
Location	320 W Grand Ave Ste 204, Wisconsin Rapids, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174952352
Provider Enumeration Date: 11/07/2013
Last Update Date: 11/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6305299850
Enrollment ID: I20240131003063

Medical Identifiers

Medical identifiers for Mrs Janelle Kathleen Hafermann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174952352	NPI	-	NPPES
100086570	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	15834-132 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	10484-125 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	10484-125 (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. Mrs Janelle Kathleen Hafermann allows following entities to bill medicare on her behalf.

Entity Name	Hafermann Counseling Collaborative, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558043711 PECOS PAC ID: 2860845310 Enrollment ID: O20240131002952

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. Mrs Janelle Kathleen Hafermann 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
Mrs Janelle Kathleen Hafermann, LPC, CSAC, ICS 320 W Grand Ave Ste 204, Wisconsin Rapids, WI 54495-2781 Ph: (715) 421-1107	Mrs Janelle Kathleen Hafermann, LPC, CSAC, ICS 320 W Grand Ave Ste 204, Wisconsin Rapids, WI 54495-2781 Ph: (715) 421-1107

Reviews and Comments

Counselor in Wisconsin Rapids, WI

Louanne Pufall, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8844 Fax: 715-421-2266
Thomas Michael Surendonk, MSSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441
Karalee Flinders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 3rd St S, Wisconsin Rapids, WI 54494 Phone: 715-712-1370
Ms. Sandra Holmes, MS, CSAC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 420 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-847-2772
Ms. Constance K Virnig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Po 1535, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441
Tracy Renderman, SAC, IDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8869

Mrs Janelle Kathleen Hafermann, LPC, CSAC, ICS - Medicare Counselor in Wisconsin Rapids, WI