Dale S Rasmussen, BSW CSAC is a
Counselor - Addiction (substance Use Disorder) based in Green Bay, Wisconsin. Dale S Rasmussen is licensed to practice in Wisconsin (license number 10679-132) and his current practice location is
2640 W Point Rd, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 869-2711.
NPI number for Dale S Rasmussen is 1609867761 and his current mailing address is Po Box 365, Oneida, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609867761.
Healthcare Provider's Profile
| Full Name | Dale S Rasmussen |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 2640 W Point Rd, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609867761
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 05/13/2020
Medical Identifiers
Medical identifiers for Dale S Rasmussen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609867761 | NPI | - | NPPES |
| 39168800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 1308-120 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 10679-132 (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. Dale S Rasmussen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dale S Rasmussen, BSW CSAC
Po Box 365,
Oneida, WI 54155-0365
Ph: (920) 869-2711 | Dale S Rasmussen, BSW CSAC
2640 W Point Rd,
Green Bay, WI 54304-1344
Ph: (920) 869-2711 |
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