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IndividualActiveMedicare EnrolledCan Order/Refer

Kellie Elaine Deitrich

MS

Counselor

NPI: 1376295683Reedsburg, Wisconsin, 53959(608) 415-9956Female

About Kellie Elaine Deitrich

Kellie Elaine Deitrich, MS, is a female healthcare professional specializing in Counselor, registered under National Provider Identifier (NPI) number 1376295683. Kellie Elaine Deitrich received her medical education at OTHER, graduating in 2021.

Their primary practice is located at 2155 E MAIN ST, Reedsburg, Wisconsin 53959. Patients can reach the office at (608) 415-9956. Kellie Elaine Deitrich is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Kellie Elaine Deitrich has been NPI-registered since 2022.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1376295683
Entity Type
Individual
First Name
Kellie
Last Name
Deitrich
Credential
MS
Gender
Female
Medical School
OTHER
Graduation Year
2021
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
2155 E MAIN ST
City
Reedsburg
State
Wisconsin
ZIP
53959-9440
Country
United States
Phone
(608) 415-9956

Specialty & Taxonomy

Primary Specialty
Counselor
Classification
Counselor
Taxonomy Code
101Y00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
800 MARY AVE
City
REEDSBURG
State
WI
ZIP
539591119

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kellie Elaine Deitrich's NPI number?
Kellie Elaine Deitrich's National Provider Identifier (NPI) is 1376295683. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kellie Elaine Deitrich specialize in?
Kellie Elaine Deitrich specializes in Counselor. They received their medical education at OTHER (class of 2021).
Where is Kellie Elaine Deitrich located?
Kellie Elaine Deitrich practices at 2155 E MAIN ST, Reedsburg, Wisconsin 53959. You can reach them by phone at (608) 415-9956.
Does Kellie Elaine Deitrich accept Medicare?
Yes, Kellie Elaine Deitrich is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Kellie Elaine Deitrich offer telehealth or virtual visits?
Kellie Elaine Deitrich does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kellie Elaine Deitrich is 1376295683.