Kristie A Ineichen, PSYD LP is a medicare enrolled "Psychologist - Clinical" provider in Ellsworth, Wisconsin. She graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Talkspace Provider Network Pa and her current practice location is
N5683 530th St, Ellsworth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(763) 257-4655.
Kristie A Ineichen is licensed to practice in Wisconsin (license number 4031-57) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871997544.
Healthcare Provider's Profile
| Full Name | Kristie A Ineichen |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | N5683 530th St, Ellsworth, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristie A Ineichen graduated from medical school in 2012
NPI Data:
- NPI Number: 1871997544
- Provider Enumeration Date: 10/09/2014
- Last Update Date: 05/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022337385
- Enrollment ID: I20240516001377
Medical Identifiers
Medical identifiers for Kristie A Ineichen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871997544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 4031-57 (Wisconsin) | Primary |
| 103TC0700X | Psychologist - Clinical | LP5823 (Minnesota) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Talkspace Provider Network Pa | 5799136701 | 197 |
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. Kristie A Ineichen allows following entities to bill medicare on her behalf.
| Entity Name | Talkspace Provider Network Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639814049
PECOS PAC ID: 5799136701
Enrollment ID: O20240415002987 |
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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. Kristie A Ineichen 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 |
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Kristie A Ineichen, PSYD LP
N5683 530th St,
Ellsworth, WI 54011-5111
Ph: (763) 257-4655 | Kristie A Ineichen, PSYD LP
N5683 530th St,
Ellsworth, WI 54011-5111
Ph: (763) 257-4655 |
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