Mr Barry D Erath, LCSW | |
2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 | |
(608) 742-5020 | |
(608) 742-3641 |
Full Name | Mr Barry D Erath |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 44 Years |
Location | 2639 New Pinery Rd, Portage, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861436065 | NPI | - | NPPES |
39541100 | Medicaid | WI | |
13874 | Other | WI | DEAN INSURANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 2594-123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aspen Family Counseling | 0840193157 | 5 |
Entity Name | Aspen Family Counseling |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689632309 PECOS PAC ID: 0840193157 Enrollment ID: O20040202000469 |
Mailing Address | Practice Location Address |
---|---|
Mr Barry D Erath, LCSW 2535 Lennon St, Portage, WI 53901-1124 Ph: (608) 742-7263 | Mr Barry D Erath, LCSW 2639 New Pinery Rd, Suite 1, Portage, WI 53901-1110 Ph: (608) 742-5020 |
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 | |
Kristine G Schmitt, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2901 Hunters Trl, Portage, WI 53901 Phone: 608-742-5518 |