Antoinette Marie Mathis, | |
124 Grayside Ave, Mauston, WI 53948-1913 | |
(608) 847-7575 | |
(608) 847-3096 |
Full Name | Antoinette Marie Mathis |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 124 Grayside Ave, Mauston, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467068924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Counseling Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063686970 PECOS PAC ID: 3678622784 Enrollment ID: O20090520000373 |
Mailing Address | Practice Location Address |
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Antoinette Marie Mathis, 124 Grayside Ave, Mauston, WI 53948-1913 Ph: (608) 847-7575 | Antoinette Marie Mathis, 124 Grayside Ave, Mauston, WI 53948-1913 Ph: (608) 847-7575 |
Mr. Charles D Lipford, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 E La Crosse St., Juneau County Human Services, Mauston, WI 53948 Phone: 608-847-2400 Fax: 608-847-9599 | |
Ms. Cassandra A Heideman, LPC-IT, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Hickory Street, Mauston, WI 53948 Phone: 608-847-2400 Fax: 608-847-9599 | |
Crissy L Lobermier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Grayside Ave, Mauston, WI 53948 Phone: 608-847-7575 | |
Katherine Andrews, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 200 S Hickory St, Mauston, WI 53948 Phone: 608-847-2400 Fax: 608-847-9599 | |
Michelle Lavonne Floersch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Grayside Ave, Mauston, WI 53948 Phone: 608-433-5888 | |
Christopher Michael Hoffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E State St, Mauston, WI 53948 Phone: 608-477-9858 Fax: 877-560-0478 | |
Edward A Merz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Hickory Street, Mauston, WI 53948 Phone: 608-847-2400 Fax: 608-847-9599 |