Bryanne E Fountain, | |
2500 Hall Avenue, Suite A, Marinette, WI 54143 | |
(715) 732-7760 | |
(715) 732-7711 |
Full Name | Bryanne E Fountain |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 2500 Hall Avenue, Marinette, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326214230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 9013-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Marinette | 3476513177 | 2 |
Entity Name | County Of Marinette |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134237480 PECOS PAC ID: 3476513177 Enrollment ID: O20041018000243 |
Mailing Address | Practice Location Address |
---|---|
Bryanne E Fountain, 2500 Hall Avenue, Suite A, Marinette, WI 54143 Ph: (715) 732-7760 | Bryanne E Fountain, 2500 Hall Avenue, Suite A, Marinette, WI 54143 Ph: (715) 732-7760 |
Cheryl Krueger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1602 Main St, Marinette, WI 54143 Phone: 715-735-9536 | |
Ashley Schutz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2500 Hall Ave, Marinette, WI 54143 Phone: 715-732-7760 Fax: 715-732-7711 | |
Elizabeth J Jarvie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave Ste B, Marinette, WI 54143 Phone: 715-732-7793 Fax: 715-732-7667 | |
Wendy Therese Kahl, BS CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave, Marinette County Health And Human Services Suite A, Marinette, WI 54143 Phone: 715-732-7700 Fax: 715-732-7766 | |
Tabitha Ann Fendrick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave, Marinette, WI 54143 Phone: 715-732-7700 Fax: 715-732-7667 | |
Christine Crane, LCSW LPC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Hall Ave, Suite A Marinette County Health And Human Services, Marinette, WI 54143 Phone: 715-732-7760 Fax: 715-732-7711 |