Gina Ann Lundervold-foley, MS | |
515 22nd Ave, Monroe, WI 53566-1569 | |
(608) 324-2000 | |
Not Available |
Full Name | Gina Ann Lundervold-foley |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 515 22nd Ave, Monroe, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831563444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 226-2765 (Wisconsin) | Primary |
Entity Name | Oregon Mental Health Services,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801925433 PECOS PAC ID: 0143393884 Enrollment ID: O20080714000649 |
Mailing Address | Practice Location Address |
---|---|
Gina Ann Lundervold-foley, MS 203 United Way, Frederic, WI 54837-8938 Ph: (715) 327-4402 | Gina Ann Lundervold-foley, MS 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 |
Cari Gwendolyn Wild, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2841 6th St, Monroe, WI 53566 Phone: 608-328-9352 | |
Daniel Harold Doden, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9308 Fax: 608-328-9480 | |
Anita Maria Stein, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 Hwy 81, Monroe, WI 53566 Phone: 608-328-9357 | |
Susan Shanks, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1209 17th Ave, Monroe, WI 53566 Phone: 608-426-6463 Fax: 608-631-3009 | |
Barbara R Alexander, B.S., CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9304 Fax: 608-328-9480 | |
Janet Arce, Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 Fax: 608-328-9480 | |
Sarah Ragan, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N3152 State Road 81, Monroe, WI 53566 Phone: 608-328-9393 |