Mr Brett Ryan Zelencik, | |
115 5th Ave S, 501, La Crosse, WI 54601-9200 | |
(708) 648-2738 | |
Not Available |
Full Name | Mr Brett Ryan Zelencik |
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Gender | Male |
Speciality | Counselor |
Location | 115 5th Ave S, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235685983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 3206226 (Wisconsin) | Primary |
Entity Name | Brightside Medical Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963 |
Mailing Address | Practice Location Address |
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Mr Brett Ryan Zelencik, 1920 Main St, La Crosse, WI 54601-4230 Ph: (708) 648-2738 | Mr Brett Ryan Zelencik, 115 5th Ave S, 501, La Crosse, WI 54601-9200 Ph: (708) 648-2738 |
Alicia S Skiles, QTT Counselor Medicare: Medicare Enrolled Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Rachel R Unseth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 5th Ave S Ste 523, La Crosse, WI 54601 Phone: 608-797-5679 | |
Tanya L Kessen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 205 5th Ave S Ste 508, La Crosse, WI 54601 Phone: 608-387-9638 Fax: 608-377-7488 | |
Samina L Grimes, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2216 Kane St, La Crosse, WI 54603 Phone: 608-385-4004 | |
Mark L Taylor, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 South Ave, La Crosse, WI 54601 Phone: 608-775-2287 | |
Ms. Elizabeth Lou Bierly, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002 | |
Deborah Stelmach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Main St Ste 301, La Crosse, WI 54601 Phone: 608-519-5906 Fax: 608-519-5908 |