Ms Kimberly Sue Wasoski, LMHC, LCAC in South Bend, IN

Ms Kimberly Sue Wasoski, LMHC, LCAC is a medicare enrolled "Counselor - Mental Health" provider in South Bend, Indiana. Her current practice location is 3220 E Jefferson Blvd, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 222-2466.

Ms Kimberly Sue Wasoski is licensed to practice in Indiana (license number 39000873A) 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 1639358161.

Contact Information

	Ms Kimberly Sue Wasoski, LMHC, LCAC
	3220 E Jefferson Blvd, South Bend, IN 46615-3028
	(574) 222-2466
	(574) 222-2468

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly Sue Wasoski
Gender	Female
Speciality	Counselor - Mental Health
Location	3220 E Jefferson Blvd, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639358161
Provider Enumeration Date: 11/01/2007
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 3870896541
Enrollment ID: I20240221003508

Medical Identifiers

Medical identifiers for Ms Kimberly Sue Wasoski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639358161	NPI	-	NPPES
000000542441	Other	IN	UNICARE
200375890A	Medicaid	IN
000000542441	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39000873A (Indiana)	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. Ms Kimberly Sue Wasoski allows following entities to bill medicare on her behalf.

Entity Name	Reflections Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023428711 PECOS PAC ID: 1153624812 Enrollment ID: O20160129001717

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. Ms Kimberly Sue Wasoski 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
Ms Kimberly Sue Wasoski, LMHC, LCAC 3220 E. Jefferson Blvd., South Bend, IN 46615-2733 Ph: (574) 222-2466	Ms Kimberly Sue Wasoski, LMHC, LCAC 3220 E Jefferson Blvd, South Bend, IN 46615-3028 Ph: (574) 222-2466

Reviews and Comments

Counselor in South Bend, IN

Breana S Bowsher, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-283-1234 Fax: 574-283-1361
Mr. Donald Alden Cronk Iii, M.S., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 E Colfax Ave, South Bend, IN 46617 Phone: 574-277-7734 Fax: 574-277-7734
Lafo Robbins, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Clarice Shear, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Mrs. Carrie Anne Bianchini, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Karen Zeck, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17195 Cleveland Rd, Samaritan Counseling Center, South Bend, IN 46635 Phone: 574-277-0274 Fax: 574-271-7202
Karen Tang, Counselor Medicare: Medicare Enrolled Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652

Ms Kimberly Sue Wasoski, LMHC, LCAC - Medicare Counselor in South Bend, IN