Kamela D Cisneros, | |
903 Mineral Point Ave, Janesville, WI 53548-2970 | |
(608) 756-5555 | |
(608) 756-0174 |
Full Name | Kamela D Cisneros |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 903 Mineral Point Ave, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013164458 | NPI | - | NPPES |
1013164458 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 4113-125 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Kamela D Cisneros, 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555 | Kamela D Cisneros, 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555 |
Michael G Braun, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4502 | |
Carol Ann Ward, LPC,NCC Counselor Medicare: Medicare Enrolled Practice Location: 1519 Primrose Ln, Janesville, WI 53545 Phone: 608-752-7255 Fax: 608-752-6942 | |
Ms. Christina Renee Mcginn, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Ln, Janesville, WI 53546 Phone: 608-847-7575 | |
Tamra J Oman, CFT 14379130 Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Sunny Lane, Janesville, WI 53546 Phone: 608-741-4500 Fax: 608-741-4516 | |
Jayme St. John, Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 S Franklin St, Janesville, WI 53548 Phone: 608-757-5625 | |
Rebecca L Davis, LPC-IT, SAC Counselor Medicare: Medicare Enrolled Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6530 Fax: 608-756-6564 |