Jon W Dickson, MS | |
123 16th St S, La Crosse, WI 54601-4241 | |
(608) 775-8646 | |
Not Available |
Full Name | Jon W Dickson |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 123 16th St S, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043211550 | NPI | - | NPPES |
39650100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1490 (Wisconsin) | Primary |
Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
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Jon W Dickson, MS 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Jon W Dickson, MS 123 16th St S, La Crosse, WI 54601-4241 Ph: (608) 775-8646 |
Christi M Nowland, MSSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 319 Main St Ste 510, La Crosse, WI 54601 Phone: 608-461-1785 Fax: 608-796-1114 | |
Robert E Hanson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 11th Avenue S., La Crosse, WI 54601 Phone: 608-392-9555 Fax: 608-392-9432 | |
Ms. Melissa Lea Thielman, MSSW, CAPSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 11th St S, La Crosse, WI 54601 Phone: 608-392-9555 Fax: 608-392-9432 | |
Mrs. Carol A Ogea, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Christine L Hughes, MSSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 212 11th St S, La Crosse, WI 54601 Phone: 608-392-9555 | |
Ms. Nancy J Pohlman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 605 4th St S, La Crosse, WI 54601 Phone: 608-615-1023 Fax: 608-615-1063 |