Jesse Kusserow, LPC-IT in Appleton, WI - Medicare Counselor Provider

Jesse Kusserow, LPC-IT is a medicare enrolled "Counselor - Professional" provider in Appleton, Wisconsin. His current practice location is 1822 S Bouten St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 427-0963.

Jesse Kusserow is licensed to practice in Wisconsin (license number 2103226) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033656079.

Contact Information

	Jesse Kusserow, LPC-IT
	1822 S Bouten St, Appleton, WI 54915-1265
	(920) 427-0963
	Not Available

Healthcare Provider's Profile

Full Name	Jesse Kusserow
Gender	Male
Speciality	Counselor - Professional
Location	1822 S Bouten St, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033656079
Provider Enumeration Date: 01/29/2017
Last Update Date: 01/29/2017

Medicare PECOS Information:

PECOS PAC ID: 5597115584
Enrollment ID: I20240103003065

Medical Identifiers

Medical identifiers for Jesse Kusserow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033656079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2103226 (Wisconsin)	Primary

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. Jesse Kusserow 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
Jesse Kusserow, LPC-IT 1822 S Bouten St, Appleton, WI 54915-1265 Ph: (920) 427-0963	Jesse Kusserow, LPC-IT 1822 S Bouten St, Appleton, WI 54915-1265 Ph: (920) 427-0963

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Counselor in Appleton, WI

Ms. Maria Gloria Vercimak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451
Pablo E Serna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Walnut St, Appleton, WI 54911 Phone: 920-832-4741 Fax: 920-832-2185
Kimberly Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 N Richmond St, Appleton, WI 54911 Phone: 920-730-1321 Fax: 920-734-2824
Teri G Metropulos, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 229 S. Morrison, Appleton, WI 54911 Phone: 920-832-2783 Fax: 920-832-2635
Nhia Moua, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 W Grande Market Dr Ste N, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164
Trevor Konetzke, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Glenridge Ct, Appleton, WI 54914 Phone: 920-731-3981
Mrs. Danielle Faye Falesnik, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 1/2 W College Ave Ste 3, Appleton, WI 54911 Phone: 920-795-7188 Fax: 920-570-6994

Jesse Kusserow, LPC-IT - Medicare Counselor in Appleton, WI