Eric John Pantojas, | |
430 E Division St, Fond Du Lac, WI 54935-4560 | |
(920) 926-4200 | |
Not Available |
Full Name | Eric John Pantojas |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 430 E Division St, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962071217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Fond Du Lac County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053458935 PECOS PAC ID: 2668376245 Enrollment ID: O20031125000279 |
Mailing Address | Practice Location Address |
---|---|
Eric John Pantojas, 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 273-9152 | Eric John Pantojas, 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4200 |
Claire Elizabeth Krizman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 310-880-8864 | |
Jenna R Pieper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 Fax: 920-929-3129 | |
Amanda Rentmeester, Counselor Medicare: Not Enrolled in Medicare Practice Location: W6986 Newton Rd, Fond Du Lac, WI 54937 Phone: 414-416-7368 | |
Sandra M Schug, MS, LPC-IT, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3500 | |
Tania Rhoads, CISW, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Forest Ave, Suite 116, Fond Du Lac, WI 54935 Phone: 920-907-0813 Fax: 920-907-0826 | |
Kaitlyn Kenealy, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 131 S Main St Ste M05, Fond Du Lac, WI 54935 Phone: 920-659-5414 | |
Lynn Marie Genz, LPC Counselor Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8933 |