Ms Susan Marie Panger, LMFT LCSW is a
Marriage & Family Therapist based in Kenosha, Wisconsin. Ms Susan Marie Panger is licensed to practice in Wisconsin (license number 558-124) and her current practice location is
811 60th St, 2e, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 652-9599.
NPI number for Ms Susan Marie Panger is 1750403101 and her current mailing address is Po Box 96, Kenosha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750403101.
Healthcare Provider's Profile
| Full Name | Ms Susan Marie Panger |
|---|
| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 811 60th St, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750403101
- Provider Enumeration Date: 04/05/2007
- Last Update Date: 09/14/2010
Medical Identifiers
Medical identifiers for Ms Susan Marie Panger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750403101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 2606-123 (Wisconsin) | Secondary |
| 106H00000X | Marriage & Family Therapist | 558-124 (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. Ms Susan Marie Panger 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 |
|---|
Ms Susan Marie Panger, LMFT LCSW
Po Box 96,
Kenosha, WI 53141-0096
Ph: (262) 652-9599 | Ms Susan Marie Panger, LMFT LCSW
811 60th St, 2e,
Kenosha, WI 53140-4074
Ph: (262) 652-9599 |
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