Kelly J Day, LCSW,SAC | |
533 Peace Pipe Road, Lac Du Flambeau, WI 54538-0189 | |
(715) 588-1511 | |
(715) 588-3903 |
Full Name | Kelly J Day |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 533 Peace Pipe Road, Lac Du Flambeau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639421373 | NPI | - | NPPES |
1639421373 | Medicaid | WI |
Entity Name | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134235047 PECOS PAC ID: 5496707242 Enrollment ID: O20050221000179 |
Mailing Address | Practice Location Address |
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Kelly J Day, LCSW,SAC 15501 Indian Village Rd, Lac Du Flambeau, WI 54538-1178 Ph: (715) 369-7300 | Kelly J Day, LCSW,SAC 533 Peace Pipe Road, Lac Du Flambeau, WI 54538-0189 Ph: (715) 588-1511 |
Ms. Regina Rae Fox, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Anna Lynn Johnson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Ms. Debra L Neddo, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Tieheena M Lemerond, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Isabella Fallos, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 | |
Wendy Lindstrom, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Karrie Joann Branfort, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3378 Schilleman Road, Lac Du Flambeau, WI 54538 Phone: 715-588-3303 |