Stephani Diagne, | |
8800 Washington Ave, Mount Pleasant, WI 53406-3701 | |
(262) 633-3591 | |
(262) 633-2619 |
Full Name | Stephani Diagne |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8800 Washington Ave, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023746179 | NPI | - | NPPES |
100211189 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 8777-123 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Stephani Diagne, 4745 Saint Regis Dr, Mount Pleasant, WI 53403-3922 Ph: () - | Stephani Diagne, 8800 Washington Ave, Mount Pleasant, WI 53406-3701 Ph: (262) 633-3591 |
Susan E Moore Schneider, MSW, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4810 Northwestern Ave, Mount Pleasant, WI 53406 Phone: 262-637-9984 Fax: 262-637-9995 | |
Julie Dunham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000 | |
Olivia M Floyd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8800 Washington Ave Ste 100, Mount Pleasant, WI 53406 Phone: 262-633-3591 Fax: 262-633-2619 | |
James Scarpaci, MSW LCSW CADC III Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Suite 20, Mount Pleasant, WI 53405 Phone: 262-687-2222 Fax: 262-687-2495 | |
Janet Vannatta, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6929 Mariner Dr Ste D, Mount Pleasant, WI 53406 Phone: 262-672-6614 | |
Michael Derose, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3805b Spring St, Suite 320, Mount Pleasant, WI 53405 Phone: 262-687-2222 Fax: 262-687-8611 |