Mr Timothy Lloyd Panula, LPC | |
2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 | |
(715) 395-7825 | |
(715) 395-7826 |
Full Name | Mr Timothy Lloyd Panula |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2231 Catlin Ave, Superior, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548445778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2837 - 125 (Wisconsin) | Primary |
Entity Name | Rush Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801942040 PECOS PAC ID: 8224131750 Enrollment ID: O20070321000265 |
Mailing Address | Practice Location Address |
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Mr Timothy Lloyd Panula, LPC Po Box 85, Superior, WI 54880-0085 Ph: (715) 395-7825 | Mr Timothy Lloyd Panula, LPC 2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 Ph: (715) 395-7825 |
Celia Rae Ross, MSED, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3215 Tower Ave Ste 108, Superior, WI 54880 Phone: 715-718-5606 Fax: 715-718-5607 | |
Ms. Kathryn Everson, Counselor Medicare: Medicare Enrolled Practice Location: 1500 N 34th St Ste 200, Superior, WI 54880 Phone: 715-395-5380 Fax: 715-392-1935 | |
Dr. James M Geidner, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1500 N 34th St, Suite 300, Superior, WI 54880 Phone: 218-310-1693 Fax: 888-724-4599 | |
Jacquelyn K. Lindberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 E 5th St, Superior, WI 54880 Phone: 715-392-1955 Fax: 715-392-1935 | |
Dr. John Paul, PH.D., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 N 34th St Ste 300, Superior, WI 54880 Phone: 218-464-3057 Fax: 888-724-4599 | |
Ms. Katherine Marie Panula, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2231 Catlin Ave, Suite #310, Superior, WI 54880 Phone: 715-395-7825 Fax: 715-395-7826 | |
Dustin Oosten, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 39 N 25th St E, Superior, WI 54880 Phone: 715-392-8216 Fax: 715-392-6055 |