Inez Trantow, | |
902 Riverside Dr, Waupaca, WI 54981-1992 | |
(715) 256-1475 | |
Not Available |
Full Name | Inez Trantow |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 902 Riverside Dr, Waupaca, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710048558 | NPI | - | NPPES |
3919440 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 4158-123 (Wisconsin) | Secondary |
101YM0800X | Counselor - Mental Health | 868 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Inez Trantow, 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 256-1475 | Inez Trantow, 902 Riverside Dr, Waupaca, WI 54981-1992 Ph: (715) 256-1475 |
Michelle A Hastings, LPC-T Counselor Medicare: Medicare Enrolled Practice Location: 902 Riverside Dr, Suite 204, Waupaca, WI 54981 Phone: 715-256-1475 Fax: 715-256-0705 | |
Kala Blasi, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-942-1894 | |
Deborah Kraemer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 902 Riverside Dr Ste 204, Waupaca, WI 54981 Phone: 715-256-1475 | |
Mrs. Teresa Lee Taylor, M.E.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Grand Seasons Dr, Waupaca, WI 54981 Phone: 715-258-8459 Fax: 715-258-0878 | |
Mr. Aaron Holt, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N. Main St., Waupaca, WI 54981 Phone: 715-281-7710 Fax: 715-345-0223 | |
Guy S Connor, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-258-6300 | |
Sarah Lee Binder, LPC Counselor Medicare: Medicare Enrolled Practice Location: 811 Harding St, Waupaca, WI 54981 Phone: 715-258-6414 Fax: 715-258-6409 |