Mr Mark Alan Tegtmeier, MA, LCSW, LPC, LMFT is a
Social Worker - Clinical based in New London, Wisconsin. Mr Mark Alan Tegtmeier is licensed to practice in Wisconsin (license number 2364-123) and his current practice location is
E7475 Rawhide Rd, New London, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 982-6100.
NPI number for Mr Mark Alan Tegtmeier is 1821263849 and his current mailing address is E7475 Rawhide Rd, New London, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821263849.
Healthcare Provider's Profile
Full Name | Mr Mark Alan Tegtmeier |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | E7475 Rawhide Rd, New London, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821263849
- Provider Enumeration Date: 04/30/2008
- Last Update Date: 04/30/2008
Medical Identifiers
Medical identifiers for Mr Mark Alan Tegtmeier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821263849 | NPI | - | NPPES |
39273400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 1863-125 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 2364-123 (Wisconsin) | Primary |
106H00000X | Marriage & Family Therapist | 479-124 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Alan Tegtmeier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mark Alan Tegtmeier, MA, LCSW, LPC, LMFT E7475 Rawhide Rd, New London, WI 54961 Ph: (920) 982-6100 | Mr Mark Alan Tegtmeier, MA, LCSW, LPC, LMFT E7475 Rawhide Rd, New London, WI 54961 Ph: (920) 982-6100 |
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