Carol J Wesley, MS | |
2600 Stewart Ave, Suite 38, Wausau, WI 54401-4148 | |
(715) 845-4900 | |
(715) 845-4970 |
Full Name | Carol J Wesley |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2600 Stewart Ave, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992715189 | NPI | - | NPPES |
39634000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 443-125 (Wisconsin) | Secondary |
106H00000X | Marriage & Family Therapist | 540-124 (Wisconsin) | Primary |
Entity Name | Vernon Memorial Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144226507 PECOS PAC ID: 8325958416 Enrollment ID: O20040420001202 |
Mailing Address | Practice Location Address |
---|---|
Carol J Wesley, MS 3302 Maple Hill Dr, Wausau, WI 54401-3767 Ph: (715) 845-4900 | Carol J Wesley, MS 2600 Stewart Ave, Suite 38, Wausau, WI 54401-4148 Ph: (715) 845-4900 |
Ms. Katie L Brueggen, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 630 S 36th Ave, Wausau, WI 54401 Phone: 855-607-8242 | |
Jennifer A. Starkey Munson, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2620 Stewart Ave Ste 310, Wausau, WI 54401 Phone: 715-848-0525 Fax: 715-848-8665 | |
Ms. Amie Jayne Leonoff, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 901 N. 6th St, The Centre For Wellbeing, Wausau, WI 54403 Phone: 715-848-5022 Fax: 888-778-6750 | |
Ryan Andrew Jacobson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1810 N 2nd St, Wausau, WI 54403 Phone: 715-848-4884 Fax: 715-845-5385 | |
John Booth, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 520 N 28th Ave, Suite 200, Wausau, WI 54401 Phone: 715-845-4900 | |
Mr. Greg Joel Turinetti, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 631 Forest St, Wausau, WI 54403 Phone: 715-842-0944 Fax: 715-845-6477 | |
Dr. Tanya Ann Simonis, PH.D Couples Therapy Medicare: Medicare Enrolled Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 |