Chad Taylor, | |
2831 Post Rd Ste 300, Plover, WI 54467-3415 | |
(715) 600-2798 | |
Not Available |
Full Name | Chad Taylor |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 2831 Post Rd Ste 300, Plover, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407254840 | NPI | - | NPPES |
100100131 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7168-125 (Wisconsin) | Primary |
Entity Name | Cornerstone Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861037293 PECOS PAC ID: 0042645046 Enrollment ID: O20200122000859 |
Mailing Address | Practice Location Address |
---|---|
Chad Taylor, 2831 Post Rd Ste 300, Plover, WI 54467-3415 Ph: (715) 600-2798 | Chad Taylor, 2831 Post Rd Ste 300, Plover, WI 54467-3415 Ph: (715) 600-2798 |
Roxanne Nowak, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2601 Post Rd Unit 794, Plover, WI 54467 Phone: 715-255-0530 | |
Michelle Schrubbe, PHD Counselor Medicare: Medicare Enrolled Practice Location: 2320 River Bend Rd, Plover, WI 54467 Phone: 262-366-6669 | |
Mrs. Deborah Jean Furgason, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2450 Vineyard Dr, Plover, WI 54467 Phone: 715-342-0290 Fax: 715-342-0291 | |
Ms. Christina Anna Schreiner, M.A., CSAC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2450 Vineyard Dr, Plover, WI 54467 Phone: 715-342-0290 | |
Kara B Kay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2831 Post Rd Ste 300, Plover, WI 54467 Phone: 715-600-2798 |