Mrs Elizabeth Ann Heidt Kozisek, PH D in Saint Libory, NE - Medicare Clinical Psychologist Provider

Mrs Elizabeth Ann Heidt Kozisek, PH D is a medicare enrolled "Psychologist - Clinical" provider in Saint Libory, Nebraska. She graduated from medical school in 1996 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Immaculate Heart Of Mary Counseling Center and her current practice location is 106 Eagle Rd, Saint Libory, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 379-1949.

Mrs Elizabeth Ann Heidt Kozisek is licensed to practice in Nebraska (license number 451) 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 1336187905.

Contact Information

	Mrs Elizabeth Ann Heidt Kozisek, PH D
	106 Eagle Rd, Saint Libory, NE 68872-2801
	(308) 379-1949
	(308) 687-6309

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Elizabeth Ann Heidt Kozisek
Gender	Female
Speciality	Clinical Psychologist
Experience	30 Years
Location	106 Eagle Rd, Saint Libory, Nebraska
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Elizabeth Ann Heidt Kozisek graduated from medical school in 1996

NPI Data:

NPI Number: 1336187905
Provider Enumeration Date: 06/03/2006
Last Update Date: 01/07/2026

Medicare PECOS Information:

PECOS PAC ID: 6406863018
Enrollment ID: I20060315000304

Medical Identifiers

Medical identifiers for Mrs Elizabeth Ann Heidt Kozisek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336187905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	451 (Nebraska)	Primary
103T00000X	Psychologist	451 (Nebraska)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Immaculate Heart Of Mary Counseling Center	8628424181	7

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 Elizabeth Ann Heidt Kozisek allows following entities to bill medicare on her behalf.

Entity Name	Immaculate Heart Of Mary Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982618328 PECOS PAC ID: 8628424181 Enrollment ID: O20231019003707

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 Elizabeth Ann Heidt Kozisek 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 Elizabeth Ann Heidt Kozisek, PH D 106 Eagle Rd, Saint Libory, NE 68872-2801 Ph: (308) 379-1949	Mrs Elizabeth Ann Heidt Kozisek, PH D 106 Eagle Rd, Saint Libory, NE 68872-2801 Ph: (308) 379-1949

Mrs Elizabeth Ann Heidt Kozisek, PH D - Medicare Psychologist in Saint Libory, NE