Matthew Michael Meyer, MA LPC-IT | |
600 E County Hwy B, Shell Lake, WI 54871-8754 | |
(715) 468-2841 | |
Not Available |
Full Name | Matthew Michael Meyer |
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Gender | Male |
Speciality | Counselor |
Location | 600 E County Hwy B, Shell Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326428350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 2528-226 (Wisconsin) | Primary |
Entity Name | Soar Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437571569 PECOS PAC ID: 6406398163 Enrollment ID: O20240610001306 |
Mailing Address | Practice Location Address |
---|---|
Matthew Michael Meyer, MA LPC-IT Po Box 265, Shell Lake, WI 54871-0265 Ph: (154) 682-8417 | Matthew Michael Meyer, MA LPC-IT 600 E County Hwy B, Shell Lake, WI 54871-8754 Ph: (715) 468-2841 |
Andrew Schulz, QTT Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E County Highway B, Shell Lake, WI 54871 Phone: 715-468-2841 | |
Emma Bemlott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E County Highway B, Shell Lake, WI 54871 Phone: 715-468-2841 | |
Wendy Muska, Counselor Medicare: Medicare Enrolled Practice Location: 800 E County Hwy B, Shell Lake, WI 54871 Phone: 715-468-2841 | |
Mary Ellen Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 Industrial Blvd, Shell Lake, WI 54871 Phone: 715-468-2841 | |
Brian Nord, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 Industrial Blvd, Shell Lake, WI 54871 Phone: 715-468-2841 Fax: 715-468-2374 | |
Cathy Marie Ekern, LPC MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 Industrial Blvd, Shell Lake, WI 54871 Phone: 715-468-2841 |