Mrs Donna Tina May Glissendorf, MSW, LCSW, CSAC in Fond Du Lac, WI

Mrs Donna Tina May Glissendorf, MSW, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Fond Du Lac, Wisconsin. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-4200.

Mrs Donna Tina May Glissendorf is licensed to practice in Wisconsin (license number 9255-123) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306187240.

Contact Information

	Mrs Donna Tina May Glissendorf, MSW, LCSW, CSAC
	430 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-4200
	(920) 926-8933

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Donna Tina May Glissendorf
Gender	Female
Speciality	Clinical Social Worker
Experience	9 Years
Location	430 E Division St, Fond Du Lac, 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.

Medical Education and Training:

Mrs Donna Tina May Glissendorf graduated from medical school in 2016

NPI Data:

NPI Number: 1306187240
Provider Enumeration Date: 03/01/2013
Last Update Date: 12/03/2020

Medicare PECOS Information:

PECOS PAC ID: 0143656470
Enrollment ID: I20200205002028

Medical Identifiers

Medical identifiers for Mrs Donna Tina May Glissendorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306187240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9255-123 (Wisconsin)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	15953-132 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hospital	Fond du lac, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Donna Tina May Glissendorf allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Mrs Donna Tina May Glissendorf is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Donna Tina May Glissendorf, MSW, LCSW, CSAC 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4200	Mrs Donna Tina May Glissendorf, MSW, LCSW, CSAC 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4200

Reviews and Comments

Social Worker in Fond Du Lac, WI

Mrs. Jennifer Michelle Deringer, MSSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 S Main St Ste 103, Fond Du Lac, WI 54935 Phone: 920-573-7378
Johanna Manthey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74 S Main St Ste 103, Fond Du Lac, WI 54935 Phone: 920-204-1572
Laura Jean Detert, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 122 Warner St, Fond Du Lac, WI 54935 Phone: 920-924-0697
Tabitha Marie Leque, APSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: N5682 County Road K, Fond Du Lac, WI 54937 Phone: 877-300-9101
Mr. Jonathan Paul Stone Sr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 River Hills Dr Apt 5201, Fond Du Lac, WI 54937 Phone: 920-960-1213
Rosonna Sue Comers, LCSW CADCIII Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 Phone: 920-929-9140 Fax: 920-929-9142

Mrs Donna Tina May Glissendorf, MSW, LCSW, CSAC - Medicare Clinical Social Worker in Fond Du Lac, WI