Mr Donald O'dell Matthews, LPC | |
199 Home Rd, Juneau, WI 53039-1401 | |
(920) 386-3500 | |
(920) 386-3812 |
Full Name | Mr Donald O'dell Matthews |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 199 Home Rd, Juneau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720179013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3246-125 (Wisconsin) | Primary |
Entity Name | County Of Dodge |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871508515 PECOS PAC ID: 2466475587 Enrollment ID: O20060104000398 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald O'dell Matthews, LPC 199 Home Rd, Juneau, WI 53039-1401 Ph: (920) 386-3500 | Mr Donald O'dell Matthews, LPC 199 Home Rd, Juneau, WI 53039-1401 Ph: (920) 386-3500 |
Thomas Deneen Rusch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-4094 | |
Greg L Hanson, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812 | |
Mrs. Kim M Herman, CSW,CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812 | |
Emily Jorgensen, Counselor Medicare: Medicare Enrolled Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-3807 | |
Edward Ormont, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 Home Rd, Juneau, WI 53039 Phone: 920-386-3500 Fax: 920-386-3812 | |
Ann Nagle, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-3494 Fax: 920-386-3812 | |
Katie Toellner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 199 County Road Df, Juneau, WI 53039 Phone: 920-386-3510 |