Jill Bley Klink, LPC | |
1640 E Sumner St, Hartford, WI 53027-2684 | |
(262) 670-4069 | |
Not Available |
Full Name | Jill Bley Klink |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1640 E Sumner St, Hartford, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891832283 | NPI | - | NPPES |
39789600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2788-125 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Jill Bley Klink, LPC 224 Birch Ln, Hartford, WI 53027-1717 Ph: (262) 673-7034 | Jill Bley Klink, LPC 1640 E Sumner St, Hartford, WI 53027-2684 Ph: (262) 670-4069 |
Mrs. Jean M Meidenbauer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 Mueller St, Hartford, WI 53027 Phone: 262-224-7006 Fax: 262-397-8023 | |
Mrs. Jennifer Everts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Pleasant Ave, Hartford, WI 53027 Phone: 262-457-1121 | |
Jamie Lynn Velvikis, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-323-1055 Fax: 262-323-1055 | |
Samantha B Kesting, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 112 Peace Lutheran Pkwy, Hartford, WI 53027 Phone: 800-438-1772 Fax: 262-293-9737 | |
Mr. Gary Robert Probst, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-244-0729 Fax: 866-238-3845 |