Kristen Kimble Robatcek, LPT-CIT | |
206 S Roosevelt Rd Ste 124, Black River Falls, WI 54615-8810 | |
(715) 670-8692 | |
(608) 785-7477 |
Full Name | Kristen Kimble Robatcek |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 206 S Roosevelt Rd Ste 124, Black River Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154836039 | NPI | - | NPPES |
7628-125 | Other | WI | LICENSE |
100074034 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7628-125 (Wisconsin) | Primary |
Entity Name | La Clinica De Los Campesinos, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058 |
Mailing Address | Practice Location Address |
---|---|
Kristen Kimble Robatcek, LPT-CIT 571 Braund St, Onalaska, WI 54650-8556 Ph: (608) 785-7000 | Kristen Kimble Robatcek, LPT-CIT 206 S Roosevelt Rd Ste 124, Black River Falls, WI 54615-8810 Ph: (715) 670-8692 |
Duarte Cespedes Perez, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: W9850 Airport Road, Black River Falls, WI 54615 Phone: 715-284-9851 | |
Mr. John Pleugers, M.A. LPC Counselor Medicare: Medicare Enrolled Practice Location: W9850 Airport Road, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-3434 | |
Lori Jean Mohring, MS, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Wi-54, Black River Falls, WI 54615 Phone: 715-284-4301 Fax: 715-284-7713 | |
Jodie Tirado, Counselor Medicare: Not Enrolled in Medicare Practice Location: W9850 Airport Rd., Black River Falls, WI 54615 Phone: 715-284-9851 | |
Jessica Harm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 Fillmore St, Black River Falls, WI 54615 Phone: 715-797-4141 | |
Steven Allen Herman, SACIT Counselor Medicare: Not Enrolled in Medicare Practice Location: N6520 Guy Rd, Black River Falls, WI 54615 Phone: 608-355-1240 Fax: 608-356-7152 |