Kayla Summerville, is a
Counselor - Mental Health based in Grand Marsh, Wisconsin. Kayla Summerville is licensed to practice in * (Not Available) (license number 1851860092) and her current practice location is
1046 Fern Ave, Grand Marsh, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(847) 802-0283.
NPI number for Kayla Summerville is 1851860092 and her current mailing address is 1046 Fern Ave, Grand Marsh, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851860092.
Healthcare Provider's Profile
Full Name | Kayla Summerville |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 1046 Fern Ave, Grand Marsh, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851860092
- Provider Enumeration Date: 11/16/2018
- Last Update Date: 10/15/2024
Medical Identifiers
Medical identifiers for Kayla Summerville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851860092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 1851860092 (* (Not Available)) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Summerville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kayla Summerville, 1046 Fern Ave, Grand Marsh, WI 53936-9683 Ph: (847) 802-0283 | Kayla Summerville, 1046 Fern Ave, Grand Marsh, WI 53936-9683 Ph: (847) 802-0283 |
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