Mr Randall P Spangle, CSAC, ICS - Counselor in Ashland, WI

Mr Randall P Spangle, CSAC, ICS is a Counselor - Addiction (substance Use Disorder) based in Ashland, Wisconsin. Mr Randall P Spangle is licensed to practice in Wisconsin (license number 7044-135) and his current practice location is 502 Main St W Ste 305, Ashland, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 682-5207.

NPI number for Mr Randall P Spangle is 1871613943 and his current mailing address is 621 18th Ave W, Ashland, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871613943.

Contact Information

Mr Randall P Spangle, CSAC, ICS
502 Main St W Ste 305,
Ashland, WI 54806-1512
(715) 682-5207
(715) 682-5209

Map and Direction


Healthcare Provider's Profile

Full NameMr Randall P Spangle
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location502 Main St W Ste 305, Ashland, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871613943
  • Provider Enumeration Date: 03/30/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Mr Randall P Spangle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871613943NPI-NPPES
39317500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 7044-135 (Wisconsin)Primary
101YA0400XCounselor - Addiction (substance Use Disorder) 72-132 (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 Randall P Spangle 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 AddressPractice Location Address
Mr Randall P Spangle, CSAC, ICS
621 18th Ave W,
Ashland, WI 54806

Ph: (715) 682-8015
Mr Randall P Spangle, CSAC, ICS
502 Main St W Ste 305,
Ashland, WI 54806-1512

Ph: (715) 682-5207

Reviews and Comments


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