Lacie L Anthony, LPC | |
37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 | |
(608) 357-2000 | |
Not Available |
Full Name | Lacie L Anthony |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 37868 Us Highway 18, Prairie Du Chien, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679503239 | NPI | - | NPPES |
40959200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3444 (Wisconsin) | Primary |
Entity Name | Prairie Du Chien Memorial Hospital Association, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
Mailing Address | Practice Location Address |
---|---|
Lacie L Anthony, LPC 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2000 | Lacie L Anthony, LPC 37868 Us Highway 18, Prairie Du Chien, WI 53821-8416 Ph: (608) 357-2000 |
Gregory Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Beaumont Rd, Prairie Du Chien, WI 53821 Phone: 563-252-2537 Fax: 608-326-0420 | |
Lynette R Kansier, Counselor Medicare: Medicare Enrolled Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 | |
Darlene M Meiners, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 S Buchanan St, Prairie Du Chien, WI 53821 Phone: 608-357-2700 | |
Dixie L Jackson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 E Blackhawk Ave, Prairie Du Chien, WI 53821 Phone: 608-326-0808 Fax: 608-326-0810 | |
Matthew Cram, Counselor Medicare: Medicare Enrolled Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2430 | |
Trina Lynne Kroening-skime, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37868 Us Highway 18, Prairie Du Chien, WI 53821 Phone: 608-357-2415 |