Colleen L Jarema, | |
50 Prairie Ave, Prairie Du Sac, WI 53578-1541 | |
(608) 643-3147 | |
(608) 643-3178 |
Full Name | Colleen L Jarema |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 50 Prairie Ave, Prairie Du Sac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245894765 | NPI | - | NPPES |
1245894765 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4944 (Wisconsin) | Primary |
Entity Name | Community Service Associates, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780610923 PECOS PAC ID: 8426948746 Enrollment ID: O20040318001251 |
Mailing Address | Practice Location Address |
---|---|
Colleen L Jarema, Po Box 301, Portage, WI 53901-0301 Ph: (608) 742-5518 | Colleen L Jarema, 50 Prairie Ave, Prairie Du Sac, WI 53578-1541 Ph: (608) 643-3147 |
Ann Moran, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 260 26th St, Prairie Du Sac, WI 53578 Phone: 608-000-0000 | |
Emily M Campbell, LPC Counselor Medicare: Medicare Enrolled Practice Location: 50 Prairie Ave, Prairie Du Sac, WI 53578 Phone: 608-643-3147 Fax: 608-643-3178 | |
Reannon Lochner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 Prairie St, Prairie Du Sac, WI 53578 Phone: 608-370-6551 Fax: 608-370-6554 | |
Laura Genthe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1190 Prairie St, Prairie Du Sac, WI 53578 Phone: 608-370-6651 Fax: 608-370-6554 | |
Shana Becker-lindow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Prairie Ave, Prairie Du Sac, WI 53578 Phone: 608-643-3147 Fax: 608-643-3178 | |
Ms. Jean Mcelhaney, MS LPC LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 4th St, Prairie Du Sac, WI 53578 Phone: 608-643-3663 Fax: 608-643-5014 |