Mary E Mikalson, MSSW | |
705 W Main St, Suit 3, Sun Prairie, WI 53590-2849 | |
(608) 825-6663 | |
(608) 825-6946 |
Full Name | Mary E Mikalson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 705 W Main St, Sun Prairie, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790841179 | NPI | - | NPPES |
39255200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2822-123 (Wisconsin) | Primary |
Entity Name | Sun Prairie Psychological Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306991682 PECOS PAC ID: 7416909205 Enrollment ID: O20050221000503 |
Mailing Address | Practice Location Address |
---|---|
Mary E Mikalson, MSSW 705 W Main St, Suit 3, Sun Prairie, WI 53590-2849 Ph: (608) 825-6663 | Mary E Mikalson, MSSW 705 W Main St, Suit 3, Sun Prairie, WI 53590-2849 Ph: (608) 825-6663 |
Daniel Villarreal, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 722 Lois Dr, Sun Prairie, WI 53590 Phone: 608-837-9112 | |
Emma Phillips Myren, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 Frederick St, Sun Prairie, WI 53590 Phone: 608-389-0330 | |
Mr. Christopher D Peters, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3500 Fax: 608-825-3793 | |
Patricia L Hottmann-rindy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3793 | |
Jody L Klumb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Tower Dr, Dean Medical Center, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3793 | |
Jodelle S Mccamey, MSW, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 778 Lois Dr., Sun Prairie, WI 53590 Phone: 608-837-9112 | |
Mary Eldridge, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1067 Derby Dr, Sun Prairie, WI 53590 Phone: 281-635-9996 |