Dawn Wirebaugh, | |
1320 Wisconsin Ave, Racine, WI 53403-1978 | |
(262) 687-2380 | |
Not Available |
Full Name | Dawn Wirebaugh |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1320 Wisconsin Ave, Racine, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699897413 | NPI | - | NPPES |
11013500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3500 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Dawn Wirebaugh, 1320 Wisconsin Ave, Racine, WI 53403-1978 Ph: (262) 687-2380 | Dawn Wirebaugh, 1320 Wisconsin Ave, Racine, WI 53403-1978 Ph: (262) 687-2380 |
Kathleen Rasmussen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2222 | |
Sammy Joe Rangel, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 840 Lake Ave, 101, Racine, WI 53403 Phone: 262-634-8688 Fax: 262-634-7547 | |
Merritt Adams, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-632-1780 Fax: 262-632-0895 | |
Dr. Kelly Jean Smith, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 Taylor Ave, Racine, WI 53403 Phone: 262-638-6771 | |
Donna R. Swanson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 521 Sixth St, Racine, WI 53403 Phone: 262-898-2940 Fax: 262-898-1772 | |
Ms. Laura Ramos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wisconsin Ave, Racine, WI 53403 Phone: 262-637-8888 Fax: 262-637-0695 | |
Mrs. Maryellen L. Schemel, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2405 Northwestern Ave, Suite Ll5, Racine, WI 53404 Phone: 262-260-8370 |