Dr Kevin Richard Kracke, PHD - Medicare Psychologist in Lewiston, ID

Dr Kevin Richard Kracke, PHD is a medicare enrolled "Psychologist" provider in Lewiston, Idaho. His current practice location is 422 17th St, Lewiston, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 743-4680.

Dr Kevin Richard Kracke is licensed to practice in Idaho (license number PSY189) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164416749.

Contact Information

Dr Kevin Richard Kracke, PHD
422 17th St,
Lewiston, ID 83501-2526
(208) 743-4680
(208) 743-1756



Healthcare Provider's Profile

Full NameDr Kevin Richard Kracke
GenderMale
Speciality
Experience Years
Location422 17th St, Lewiston, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin Richard Kracke attended and graduated from in
  NPI Data:
  • NPI Number: 1164416749
  • Provider Enumeration Date: 09/09/2005
  • Last Update Date: 03/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Kevin Richard Kracke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164416749NPI-NPPES
N4478OtherIDBLUE CROSS OF IDAHO
000010015963OtherIDBLUESHIELD OF IDAHO
806177700MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY189 (Idaho)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. Dr Kevin Richard Kracke 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 AddressPractice Location Address
Dr Kevin Richard Kracke, PHD
Po Box 2145,
Lewiston, ID 83501-1465

Ph: (208) 743-4680
Dr Kevin Richard Kracke, PHD
422 17th St,
Lewiston, ID 83501-2526

Ph: (208) 743-4680

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› Verified 4 days ago


Psychologist in Lewiston, ID

Dr. Kristy Anne Kuehfuss, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1418 Grelle Ave, Lewiston, ID 83501
Phone: 208-631-5843    
Rebecca J Alexander, PH.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 532 Bryden Ave, Lewiston, ID 83501
Phone: 208-798-5168    Fax: 208-798-5169
Dr. Leanne Parker, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1720 18th Ave, Lewiston, ID 83501
Phone: 208-746-4097    
Dr. Richard Ballou Gallaher Jr., PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 513 Thain Road, Lewiston, ID 83501
Phone: 208-743-0150    Fax: 208-743-5358
Philip N Mackinnon, PH D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 415 6th St, Lewiston, ID 83501
Phone: 208-743-2511    Fax: 208-799-5554
Dr. Gary L. Grogan, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 633 Main Street, B#1, Lewiston, ID 83501
Phone: 208-724-0489    

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