Mr Timothy J Fale, is a
Social Worker - Clinical based in Chilton, Wisconsin. Mr Timothy J Fale is licensed to practice in Wisconsin (license number 3699-123) and his current practice location is
206 Court St, Chilton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 849-1400.
NPI number for Mr Timothy J Fale is 1437291234 and his current mailing address is 206 Court St, Chilton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437291234.
Healthcare Provider's Profile
| Full Name | Mr Timothy J Fale |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 206 Court St, Chilton, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437291234
- Provider Enumeration Date: 02/12/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Timothy J Fale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437291234 | NPI | - | NPPES |
| 12747 | Other | WI | CADC WISCONSIN CERT. BD. |
| 39614400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | 3699-123 (Wisconsin) | Primary |
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 Timothy J Fale 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 Timothy J Fale,
206 Court St,
Chilton, WI 53014-1127
Ph: (920) 849-1400 | Mr Timothy J Fale,
206 Court St,
Chilton, WI 53014-1127
Ph: (920) 849-1400 |
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