Brooke D Zank, LPC | |
571 County Road A, Green Lake, WI 54941-8630 | |
(920) 294-4070 | |
(920) 294-4139 |
Full Name | Brooke D Zank |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 571 County Road A, Green Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700388782 | NPI | - | NPPES |
100075601 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7875-125 (Wisconsin) | Primary |
Entity Name | County Of Green Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780867408 PECOS PAC ID: 6507881265 Enrollment ID: O20051011001149 |
Mailing Address | Practice Location Address |
---|---|
Brooke D Zank, LPC 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070 | Brooke D Zank, LPC 571 County Road A, Green Lake, WI 54941-8630 Ph: (920) 294-4070 |
Amy M Higginbotham, MS Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Abby Noel Vogt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Tammi Cassidy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Emily Roth Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lake Steel Street, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Nichol Wienkes, Counselor Medicare: Medicare Enrolled Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Holley Dornfeld, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 571 County Road A, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 | |
Ann Loretta Frintner, CSAC CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Lake Steel Street, Green Lake, WI 54941 Phone: 920-294-4070 Fax: 920-294-4139 |