| Lynn Nowak, LPC, CSAC | |
|
715 Decorah Rd, West Bend, WI 53095-8112 | |
| (262) 305-9668 | |
| Not Available |
| Full Name | Lynn Nowak |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 715 Decorah Rd, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962748624 | NPI | - | NPPES |
| 100027556 | Medicaid | WI | |
| 1962748624 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15917-132 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 6584-125 (Wisconsin) | Primary |
| Entity Name | Midwest Wellness Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427834654 PECOS PAC ID: 1557702537 Enrollment ID: O20240508000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Nowak, LPC, CSAC 715 Decorah Rd, West Bend, WI 53095-8112 Ph: (262) 305-9668 | Lynn Nowak, LPC, CSAC 715 Decorah Rd, West Bend, WI 53095-8112 Ph: (262) 305-9668 |
Ms. Ashley Elizabeth Birkholz, CAPSW, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Renee M Janusz, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St Ste 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
William James Skalecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St Ste 110, West Bend, WI 53095 Phone: 262-707-3052 | |
Jennifer Ryan, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 | |
Jonathan France, LPC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 333 E Washington St Ste 2100, West Bend, WI 53095 Phone: 262-365-6563 Fax: 262-365-6559 | |
Hollister L Jefferson, M.A., SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-334-4340 | |
Shana J Schloemer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Barton Ave, West Bend, WI 53090 Phone: 262-334-5392 Fax: 262-334-4475 |