Idaho Psychological Resources Llc - Medicare Mental Health Clinic in Mackay, ID

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Idaho Psychological Resources Llc is a medicare enrolled mental health clinic (Social Worker) in Mackay, Idaho. The current practice location for Idaho Psychological Resources Llc is 4433 Beverland Road, Mackay, Idaho. For appointments, you can reach them via phone at (208) 588-5770. The mailing address for Idaho Psychological Resources Llc is Po Box 402, Mackay, Idaho and phone number is (208) 588-2770.

Idaho Psychological Resources Llc is licensed to practice in Idaho (license number LCSW-27821). The clinic also participates in the medicare program and its NPI number is 1063918464. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 588-5770.

Contact Information

Idaho Psychological Resources Llc
4433 Beverland Road
Mackay
ID 83251
(208) 588-5770
(208) 588-2984

Map and Direction


Mental Health Clinic Profile

Full NameIdaho Psychological Resources Llc
SpecialitySocial Worker
Location4433 Beverland Road, Mackay, Idaho
Authorized Official Name and PositionAlexis Gamett (ADMINSTRATOR)
Authorized Official Contact2086045193
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Idaho Psychological Resources Llc
Po Box 402
Mackay
ID 83251-0402

Ph: (208) 588-2770		Idaho Psychological Resources Llc
4433 Beverland Road
Mackay
ID 83251

Ph: (208) 588-5770

NPI Details:

NPI Number1063918464
Provider Enumeration Date04/04/2018
Last Update Date06/21/2021
Certification Date06/21/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6709120223
Medicare Enrollment IDO20181210001966

Medical Identifiers

Medical identifiers for Idaho Psychological Resources Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063918464NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LPC-3661 (Idaho)Secondary
104100000XSocial Worker LCSW-27821 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Idaho Psychological Resources Llc acts as a billing entity for following providers:
Provider NameJefferson H Kraczek
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093087033
PECOS PAC ID: 8325266505
Enrollment ID: I20140829001772

Reviews and Comments

Social Worker in Mackay, ID


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.