Mr Terence Michael Gunville, LCSW | |
16655 W Bluemound Rd, Suite 300 Bray Consultants, Brookfield, WI 53005 | |
(262) 821-0588 | |
(262) 821-0599 |
Full Name | Mr Terence Michael Gunville |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 33 Years |
Location | 16655 W Bluemound Rd, Brookfield, 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 |
---|---|---|---|
1154528651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | LCSW835123 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prohealth Medical Group Inc | 3476465188 | 416 |
Entity Name | Prohealth Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
Mailing Address | Practice Location Address |
---|---|
Mr Terence Michael Gunville, LCSW 920 Tenny Avenue, Hartlandd, WI 53029 Ph: (262) 367-5160 | Mr Terence Michael Gunville, LCSW 16655 W Bluemound Rd, Suite 300 Bray Consultants, Brookfield, WI 53005 Ph: (262) 821-0588 |
Amanda L Franzen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-345-5562 | |
Kristen Stodola, Counselor Medicare: Medicare Enrolled Practice Location: 17100 W North Ave, Brookfield, WI 53005 Phone: 262-244-6177 | |
Ann Elizabeth Brunner, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16655 W Bluemound Rd Ste 330, Brookfield, WI 53005 Phone: 262-786-9184 Fax: 262-786-1906 | |
Emily Kathryn Olson, ATR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12630 W North Ave Bldg E, Brookfield, WI 53005 Phone: 262-785-1008 | |
Susan Marie Condon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18000 W Sarah Ln, Brookfield, WI 53045 Phone: 262-267-8560 | |
Leah K Stadel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16535 W Bluemound Rd Ste 305, Brookfield, WI 53005 Phone: 800-438-1772 Fax: 262-345-5562 | |
Jacqueline Lee Landers, MSW LCSW CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 15460 W Capitol Dr Ste 222, Brookfield, WI 53005 Phone: 262-408-0588 Fax: 262-373-0362 |