Kristine G Schmitt, MA, LPC | |
2901 Hunters Trl, Portage, WI 53901-3403 | |
(608) 742-5518 | |
Not Available |
Full Name | Kristine G Schmitt |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 2901 Hunters Trl, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144618604 | NPI | - | NPPES |
1144618604 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 7369 (Wisconsin) | Primary |
Entity Name | Group Health Cooperative Of South Central Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
Mailing Address | Practice Location Address |
---|---|
Kristine G Schmitt, MA, LPC 1801 Aberg Ave, Madison, WI 53704-4201 Ph: (608) 242-4857 | Kristine G Schmitt, MA, LPC 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
Mrs. Heather Jane Gove, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd # 1, Portage, WI 53901 Phone: 608-742-5020 | |
Shaun Alexander Hardie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2639 New Pinery Rd Ste 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-7011 | |
Melissa Trago, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1508 New Pinery Rd, Portage, WI 53901 Phone: 608-745-4900 | |
Robin A Deethardt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Susan A Knower, LPC, IDPAT Counselor Medicare: Medicare Enrolled Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 Fax: 608-742-4087 | |
Sarah J Kravick, LMFT Counselor Medicare: Medicare Enrolled Practice Location: 2639 New Pinery Rd, Suite 1, Portage, WI 53901 Phone: 608-742-5020 Fax: 608-742-3641 |